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Large abdominoscrotal hydrocele: Uncommon surgical entity

INTRODUCTION: An abdominoscrotal hydrocele (ASH) consists of a large inguinoscrotal hydrocele which communicates in an hour glass fashion with a large “intraabdominal component”. Mostly affects single testis but very rarely can present bilaterally. PRESENTATION OF CASE: We are presenting here a youn...

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Detalles Bibliográficos
Autores principales: Kamble, Pramod M., Deshpande, Aparna A., Thapar, Vinaykumar B., Das, Krishanu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4601967/
https://www.ncbi.nlm.nih.gov/pubmed/26363104
http://dx.doi.org/10.1016/j.ijscr.2015.08.027
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author Kamble, Pramod M.
Deshpande, Aparna A.
Thapar, Vinaykumar B.
Das, Krishanu
author_facet Kamble, Pramod M.
Deshpande, Aparna A.
Thapar, Vinaykumar B.
Das, Krishanu
author_sort Kamble, Pramod M.
collection PubMed
description INTRODUCTION: An abdominoscrotal hydrocele (ASH) consists of a large inguinoscrotal hydrocele which communicates in an hour glass fashion with a large “intraabdominal component”. Mostly affects single testis but very rarely can present bilaterally. PRESENTATION OF CASE: We are presenting here a young 25 year old patient with large right sided scrotal swelling encroaching over lower abdomen. Clinically it was abdominoscrotal hydrocele which was confirmed with CT abdomen and later on subjected for surgery. DISCUSSION: Abdominoscrotal hydrocele is rarest type of hydrocele; first described by Dupuytren. The etiology of ASH is unknown; however, different theories have been described in literature to explain the pathogenesis. Diagnosis of ASH is done by clinical examination and is confirmed by radiological examination. Though ultrasonography is the first choice, in few selected cases contrast enhanced computerized tomography or magnetic resonant imaging may be helpful for more anatomical delineation. It may present with various complications secondary to pressure exerted by the components of the ASH. Surgical excision of the sac is the only definitive treatment option. There is no role of conservative treatment. Sometimes, decompression of the cyst needed to ease the dissection of the sac. CONCLUSION: Abdominoscrotal hydrocele differential should be considered while dealing with large lower abdominal swelling along with scrotal swelling.
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spelling pubmed-46019672015-11-12 Large abdominoscrotal hydrocele: Uncommon surgical entity Kamble, Pramod M. Deshpande, Aparna A. Thapar, Vinaykumar B. Das, Krishanu Int J Surg Case Rep Case Report INTRODUCTION: An abdominoscrotal hydrocele (ASH) consists of a large inguinoscrotal hydrocele which communicates in an hour glass fashion with a large “intraabdominal component”. Mostly affects single testis but very rarely can present bilaterally. PRESENTATION OF CASE: We are presenting here a young 25 year old patient with large right sided scrotal swelling encroaching over lower abdomen. Clinically it was abdominoscrotal hydrocele which was confirmed with CT abdomen and later on subjected for surgery. DISCUSSION: Abdominoscrotal hydrocele is rarest type of hydrocele; first described by Dupuytren. The etiology of ASH is unknown; however, different theories have been described in literature to explain the pathogenesis. Diagnosis of ASH is done by clinical examination and is confirmed by radiological examination. Though ultrasonography is the first choice, in few selected cases contrast enhanced computerized tomography or magnetic resonant imaging may be helpful for more anatomical delineation. It may present with various complications secondary to pressure exerted by the components of the ASH. Surgical excision of the sac is the only definitive treatment option. There is no role of conservative treatment. Sometimes, decompression of the cyst needed to ease the dissection of the sac. CONCLUSION: Abdominoscrotal hydrocele differential should be considered while dealing with large lower abdominal swelling along with scrotal swelling. Elsevier 2015-09-02 /pmc/articles/PMC4601967/ /pubmed/26363104 http://dx.doi.org/10.1016/j.ijscr.2015.08.027 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kamble, Pramod M.
Deshpande, Aparna A.
Thapar, Vinaykumar B.
Das, Krishanu
Large abdominoscrotal hydrocele: Uncommon surgical entity
title Large abdominoscrotal hydrocele: Uncommon surgical entity
title_full Large abdominoscrotal hydrocele: Uncommon surgical entity
title_fullStr Large abdominoscrotal hydrocele: Uncommon surgical entity
title_full_unstemmed Large abdominoscrotal hydrocele: Uncommon surgical entity
title_short Large abdominoscrotal hydrocele: Uncommon surgical entity
title_sort large abdominoscrotal hydrocele: uncommon surgical entity
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4601967/
https://www.ncbi.nlm.nih.gov/pubmed/26363104
http://dx.doi.org/10.1016/j.ijscr.2015.08.027
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