Department of Pediatric Surgery, University General Hospital of Heraklion, Crete, Greece.
Hernia. 2011 Apr;15(2):201-3. doi: 10.1007/s10029-009-0624-9. Epub 2010 Jan 7.
Abdominoscrotal hydrocele represents an uncommon condition, especially in childhood, resulting from the communication of a large scrotal hydrocele with the abdominal cavity through the inguinal canal. The disorder has been associated with a variety of pathological entities such as hydronephrosis, lymphedema, and malignancy of the tunica vaginalis. Diagnosis is made by physical examination and confirmed by abdominal ultrasound scan. Surgical correction, although complex, remains the optimal therapeutic option. The present article reports the case of a 9-month infant from Greece with abdominoscrotal hydrocele. Regardless of rarity, the disorder should be included in the differential diagnosis of scrotal and abdominal masses, as early diagnosis and surgical intervention may prevent the development of potential complications. The difficulty in establishing a preoperative diagnosis highlights the necessity for a physician to have a high level of familiarity with abdominoscrotal hydrocele and its possible complications. Awareness of this abnormality will ensure its prompt recognition and optimal management.
阴股沟型阴囊积水是一种罕见的疾病，特别是在儿童中，是由于阴囊内大量积水通过腹股沟管与腹腔相通所致。该疾病与多种病理实体有关，如肾积水、淋巴水肿和鞘膜恶性肿瘤。通过体格检查进行诊断，并通过腹部超声扫描进行确认。手术矫正虽然复杂，但仍然是最佳的治疗选择。本文报道了一例来自希腊的 9 个月大婴儿患有阴股沟型阴囊积水。尽管罕见，但该疾病应包括在阴囊和腹部肿块的鉴别诊断中，因为早期诊断和手术干预可以预防潜在并发症的发生。术前诊断困难突出表明医生必须非常熟悉阴股沟型阴囊积水及其可能的并发症。对这种异常的认识将确保其及时识别和最佳管理。
