Bilateral Abdominoscrotal Hydrocele (ASH) is very rare in children and difficult to suspect on clinical examination. Abdominoscrotal hydrocele (ASH) is very unusual presentation of scrotal hydrocele with dumbbell-shap...Bilateral Abdominoscrotal Hydrocele (ASH) is very rare in children and difficult to suspect on clinical examination. Abdominoscrotal hydrocele (ASH) is very unusual presentation of scrotal hydrocele with dumbbell-shaped extension intra abdominally through deep inguinal ring either communicating to peritoneal cavity or non-communicating. No theory can explain exact development of ASH though many theories have been proposed in literature. An abdominoscrotal hydrocele is a congenital pathology involving a scrotal hydrocele expanding through the inguinal canal and reaching the abdominal cavity (pars abdominalis). A simple hydrocele is commonly diagnosed clinically, where as an abdominoscrotal hydrocele is rare and should be differentiated from other cystic lesions of the abdominal cavity in children.展开更多
Abdominoscrotal hydrocele(ASH)is a rare clinical finding comprising fluid collection between the layers of the tunica vaginalis,extending from the scrotum to the abdominal cavity.At present,there is no unique or recom...Abdominoscrotal hydrocele(ASH)is a rare clinical finding comprising fluid collection between the layers of the tunica vaginalis,extending from the scrotum to the abdominal cavity.At present,there is no unique or recommended management for ASH,and different surgical treatments have been proposed.Despite an open surgical approach being the most common treatment,the use of laparoscopy has also previously been described.The most common intraoperative complication is devascularization of the testis due to damage to the spermatic cord,with consequent orchiectomy.We present a case of ASH treated with minimally invasive surgery,consisting of a right inguinotomy with puncture of the ASH by positioning a mono-J stent avoiding spermatic cord dissection and the risk of testis devascularization.Sclerotization of the hydrocelic sac with iodopovidone through a mono-J stent was performed with healing from ASH and preservation of testicular vascularization.Two months later,magnetic resonance imaging showed the presence of scar tissue replacing the previous ASH cavity.展开更多
文摘Bilateral Abdominoscrotal Hydrocele (ASH) is very rare in children and difficult to suspect on clinical examination. Abdominoscrotal hydrocele (ASH) is very unusual presentation of scrotal hydrocele with dumbbell-shaped extension intra abdominally through deep inguinal ring either communicating to peritoneal cavity or non-communicating. No theory can explain exact development of ASH though many theories have been proposed in literature. An abdominoscrotal hydrocele is a congenital pathology involving a scrotal hydrocele expanding through the inguinal canal and reaching the abdominal cavity (pars abdominalis). A simple hydrocele is commonly diagnosed clinically, where as an abdominoscrotal hydrocele is rare and should be differentiated from other cystic lesions of the abdominal cavity in children.
文摘Abdominoscrotal hydrocele(ASH)is a rare clinical finding comprising fluid collection between the layers of the tunica vaginalis,extending from the scrotum to the abdominal cavity.At present,there is no unique or recommended management for ASH,and different surgical treatments have been proposed.Despite an open surgical approach being the most common treatment,the use of laparoscopy has also previously been described.The most common intraoperative complication is devascularization of the testis due to damage to the spermatic cord,with consequent orchiectomy.We present a case of ASH treated with minimally invasive surgery,consisting of a right inguinotomy with puncture of the ASH by positioning a mono-J stent avoiding spermatic cord dissection and the risk of testis devascularization.Sclerotization of the hydrocelic sac with iodopovidone through a mono-J stent was performed with healing from ASH and preservation of testicular vascularization.Two months later,magnetic resonance imaging showed the presence of scar tissue replacing the previous ASH cavity.
