Estevão-Costa José, Morgado Hélder, Soares-Oliveira Miguel, Campos Miguel, Carvalho José Luis
Division of Pediatric Surgery, Faculty of Medicine, São João Hospital, 4200-319 Porto, Portugal.
J Pediatr Surg. 2005 Apr;40(4):731-3. doi: 10.1016/j.jpedsurg.2005.01.012.
Abdominoscrotal hydrocele (ASH) is a rare condition in childhood. It presents an intraabdominal portion with homogeneous content that is usually excised through a groin approach. A pale child with a recurrent scrotal hydrocele and a huge solid-cystic retroperitoneal mass is reported. Because the diagnostic workup has not ruled out malignancy, a laparotomy was performed; however, ultimate diagnosis was hemorrhagic ASH. The clinical features and surgical management of ASH are addressed. This entity should be considered in front of tense or recurrent hydroceles or coexistent abdominal mass even though with heterogeneous content.
腹阴囊鞘膜积液（ASH）在儿童期是一种罕见病症。它呈现出腹腔内部分，其内容物均匀，通常通过腹股沟入路进行切除。本文报道了一名面色苍白的儿童，患有复发性阴囊鞘膜积液和巨大的实性囊性腹膜后肿块。由于诊断检查未排除恶性肿瘤，遂进行了剖腹手术；然而，最终诊断为出血性ASH。文中讨论了ASH的临床特征和手术治疗。即使存在内容物不均一的情况，对于紧张性或复发性鞘膜积液或并存的腹部肿块，也应考虑到这种病症。
