Abdominoscrotal Hydrocele: An Uncommon Cause of Abdominoscrotal Cystic Swelling

Abdominoscrotal hydrocele (ASH) consists of fluid-filled intercommunicating inguinoscrotal and abdominal sac with a characteristic hourglass-like picture on CECT, which usually affects single testis and a rare cause of abdominoscrotal cystic swelling. The precise etiology of ASH is not known. Ultras...

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Main Authors: Manish Swarnkar, Pathan Tanveer Khan
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2021/6655127
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author Manish Swarnkar
Pathan Tanveer Khan
author_facet Manish Swarnkar
Pathan Tanveer Khan
author_sort Manish Swarnkar
collection DOAJ
description Abdominoscrotal hydrocele (ASH) consists of fluid-filled intercommunicating inguinoscrotal and abdominal sac with a characteristic hourglass-like picture on CECT, which usually affects single testis and a rare cause of abdominoscrotal cystic swelling. The precise etiology of ASH is not known. Ultrasonography is the initial diagnostic modality of choice as it demonstrates the intercommunication between the two sacs and also identifies any abnormality of the testis and genitourinary tract. We are reporting a case of a 27-year-old patient presented in the General Surgery OPD of Acharya Vinoba Bhave Hospital in 2019 with bilateral scrotal and abdominal swelling. On examination, cross fluctuation was positive between left hydrocele and abdominal swelling, raising suspicion of ASH, which was confirmed on CECT. The patient underwent excision of sac through left inguinoscrotal approach and an uneventful postoperative course.
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spelling doaj-art-ece9e7b5b70845c6835bfc6d0e6b7e5a2025-02-03T01:25:07ZengWileyCase Reports in Urology2090-696X2090-69782021-01-01202110.1155/2021/66551276655127Abdominoscrotal Hydrocele: An Uncommon Cause of Abdominoscrotal Cystic SwellingManish Swarnkar0Pathan Tanveer Khan1Department of Surgery, LN Medical College, Madhya Pradesh, 462042, Bhopal, IndiaDepartment of General Surgery, JNMC, Maharashtra, 442001, Wardha, IndiaAbdominoscrotal hydrocele (ASH) consists of fluid-filled intercommunicating inguinoscrotal and abdominal sac with a characteristic hourglass-like picture on CECT, which usually affects single testis and a rare cause of abdominoscrotal cystic swelling. The precise etiology of ASH is not known. Ultrasonography is the initial diagnostic modality of choice as it demonstrates the intercommunication between the two sacs and also identifies any abnormality of the testis and genitourinary tract. We are reporting a case of a 27-year-old patient presented in the General Surgery OPD of Acharya Vinoba Bhave Hospital in 2019 with bilateral scrotal and abdominal swelling. On examination, cross fluctuation was positive between left hydrocele and abdominal swelling, raising suspicion of ASH, which was confirmed on CECT. The patient underwent excision of sac through left inguinoscrotal approach and an uneventful postoperative course.http://dx.doi.org/10.1155/2021/6655127
spellingShingle Manish Swarnkar
Pathan Tanveer Khan
Abdominoscrotal Hydrocele: An Uncommon Cause of Abdominoscrotal Cystic Swelling
Case Reports in Urology
title Abdominoscrotal Hydrocele: An Uncommon Cause of Abdominoscrotal Cystic Swelling
title_full Abdominoscrotal Hydrocele: An Uncommon Cause of Abdominoscrotal Cystic Swelling
title_fullStr Abdominoscrotal Hydrocele: An Uncommon Cause of Abdominoscrotal Cystic Swelling
title_full_unstemmed Abdominoscrotal Hydrocele: An Uncommon Cause of Abdominoscrotal Cystic Swelling
title_short Abdominoscrotal Hydrocele: An Uncommon Cause of Abdominoscrotal Cystic Swelling
title_sort abdominoscrotal hydrocele an uncommon cause of abdominoscrotal cystic swelling
url http://dx.doi.org/10.1155/2021/6655127
work_keys_str_mv AT manishswarnkar abdominoscrotalhydroceleanuncommoncauseofabdominoscrotalcysticswelling
AT pathantanveerkhan abdominoscrotalhydroceleanuncommoncauseofabdominoscrotalcysticswelling