Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Sultan Qaboos Univ Med J. 2022 Feb;22(1):144-148. doi: 10.18295/squmj.4.2021.068. Epub 2022 Feb 28.
Abdominoscrotal hydrocele (ASH) is a variant of hydrocele that rarely occurs in adults. ASH has two sacs, one in the scrotum and one in the abdomen connected through the inguinal canal. Abdominoscrotal haematocele is a rare complication of ASH. We report a 57-year-old male patient who presented to a tertiary care hospital in Puducherry, India, in 2019 with complaints of swelling in the scrotum for 15 years and abdominal pain for two months. Both the swellings were soft and cross fluctuation was present. Imaging confirmed the diagnosis of ASH. During a diagnostic laparoscopy, the abdominal sac was decompressed and found to have thick brownish fluid suggestive of haematocele. It was demonstrated that both sacs were connected. Due to difficulty in the dissection of the sac, the procedure was converted to an open procedure. Both the sacs were excised and Lytle's repair was done for the dilated internal ring. The patient recovered and no recurrence of any swelling in the abdomen or scrotum was found at the end of a one-year follow-up.
阴股沟型鞘膜积液（ASH）是一种罕见发生于成人的鞘膜积液变异型。ASH 有两个囊袋，一个位于阴囊，一个位于腹部，通过腹股沟管相连。阴股沟型血肿是 ASH 的罕见并发症。我们报告了 1 例 57 岁男性患者，他于 2019 年在印度本地治理的一家三级保健医院就诊，主诉阴囊肿胀 15 年，腹痛 2 个月。两处肿胀均为柔软，有波动感。影像学检查证实了 ASH 的诊断。在诊断性腹腔镜检查中，腹部囊袋被减压，发现有浓稠的褐色液体，提示为血肿。证实两个囊袋是相通的。由于囊袋分离困难，手术转为开放手术。两个囊袋均被切除，并对内环进行了 Lytle 修复。患者康复，在 1 年随访结束时，未发现腹部或阴囊有任何肿胀复发。
