CASE REPORT   

Chirurgia 2019 December;32(6):356-60

DOI: 10.23736/S0394-9508.19.04974-X

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English

A rare case of large abdominoscrotal hydrocele in a 7-month old infant: surgical treatment and review of the literature

Andrea LOCATELLI ¹ ✉, Marco BERNARDI ², Pierluigi CARZANIGA ¹

¹ Section of General Surgery, Department of Surgery, San Leopoldo Mandic Hospital, ASST Lecco, Merate, Lecco, Italy; ² Section of Pediatric Surgery, Maternal Infant Department, San Leopoldo Mandic Hospital, ASST Lecco, Merate, Lecco, Italy

We describe the surgical treatment of a large left abdominoscrotal hydrocele (ASH) in a 7-month and 25 days old patient, come to our attention for congenital bilateral hydrocele. ASH is an unusual congenital inguinal abnormality characterized by fluid-filled mass with inguinoscrotal and abdominal components and comprising up to 3.1% of all pediatric hydroceles. Early surgical intervention is recommended because spontaneous resolution is rare and the large size can result in testicular dysmorphism, hydronephrosis, testicular torsion and paratesticular malignant mesothelioma. This paper focuses on the pathogenesis, clinical presentation, diagnostic imaging and surgical details of this rare condition, comparing our experience with the most updated reviewed literature.

KEY WORDS: Testicular hydrocele; Inguinal canal; Surgical procedures, operative