Rassam Joseph, Healey Andrew E, Wood Sarah J, Corbett Harriet Jane
School of Medicine, University of Liverpool, Liverpool, UK.
Department of Radiology, Alder Hey Children's Hospital, East Prescott Road, Liverpool, UK.
J Surg Case Rep. 2018 Sep 11;2018(9):rjy232. doi: 10.1093/jscr/rjy232. eCollection 2018 Sep.
Abdomino-scrotal hydrocele is a rare condition that presents in male infants. There is no consensus in the literature over treatment. We present the case of a 4-year-old boy with what was thought to be a straight forward congenital hydrocele that persisted despite ligation of a patent processus vaginalis and a Jaboulay procedure. A subsequent Magnetic Resonance Imaging scan identified a large intra-abdominal component connecting to the scrotum. Laparoscopic excision of the intra-abdominal component was performed successfully, but the hydrocele persisted. The hydrocele resolved without complication following two episodes of image intensifier guided sclerotherapy carried out by the interventional radiology team.
腹阴囊鞘膜积液是一种在男婴中出现的罕见病症。文献中对于其治疗尚无共识。我们报告一例4岁男孩的病例，其最初被认为是简单的先天性鞘膜积液，尽管已结扎未闭的鞘状突并进行了贾布莱手术，但积液仍持续存在。随后的磁共振成像扫描发现一个连接阴囊的巨大腹腔内成分。成功进行了腹腔镜下腹腔内成分切除术，但鞘膜积液仍持续存在。在介入放射科团队进行了两次影像增强器引导下的硬化治疗后，鞘膜积液消退且无并发症。
