Klin B, Efrati Y, Mor A, Vinograd I
Pediatric Surgery Services, Assaf Harofeh Medical Center, Sackler School of Medicine, Tel Aviv University, Zerifin, Israel.
J Urol. 1992 Aug;148(2 Pt 1):384-6. doi: 10.1016/s0022-5347(17)36605-3.
Abdominoscrotal hydrocele is extremely rare in children. A case is presented of an unusually large abdominoscrotal hydrocele in a child, with secondary right hydroureteronephrosis due to contiguous pressure and right cryptorchidism. This entity, although unusual, should be considered in the differential diagnosis of a lower abdominal mass in children, as well as a cause of hydroureteronephrosis. Diagnosis is made with ultrasound, computerized tomography and occasionally excretory urography. Complete surgical excision through a groin incision is recommended, but optional inguinoabdominal or abdominal incisions have been reported. After surgical removal, healing is usually complete, including regression of the hydroureteronephrosis.
小儿腹阴囊鞘膜积液极为罕见。本文报道一例小儿罕见的巨大腹阴囊鞘膜积液病例，因相邻压迫导致继发性右侧输尿管肾盂积水及右侧隐睾。尽管这种情况不常见，但在小儿下腹部肿块的鉴别诊断中以及作为输尿管肾盂积水的病因时均应予以考虑。通过超声、计算机断层扫描，偶尔也通过排泄性尿路造影进行诊断。建议通过腹股沟切口进行完整的手术切除，但也有报道采用腹股沟腹部或腹部切口。手术切除后，通常愈合良好，包括输尿管肾盂积水的消退。
