Wang Ti-Xue, Ma Ya-Long, Han Nuan, Feng Lin, Zhang Chong-Fang
Department of Pediatric Surgery, Affiliated Hospital of Jining Medical University, Jining, Shandong Province, China.
Department of Clinical Medicine, Jining Medical University, Jining, Shandong Province, China.
Medicine (Baltimore). 2025 Jun 20;104(25):e42974. doi: 10.1097/MD.0000000000042974.
Abdominoscrotal hydrocele (ASH) is a rare condition characterized by fluid-filled masses in the inguinal scrotal and abdominal components, and the understanding of this condition, especially its pathogenesis, remains incompletely transparent.
The child, a 2-year-old boy, 4 days ago, no apparent cause of paroxysmal abdominal pain during the constipation symptoms, self-defecation after abdominal pain relief, occasional mild cough, no nausea and vomiting.
"Abdominal cavity occupation."
Laparoscopic exploration, the most prominent position of the cyst was opened with tissue scissors to cut the cyst wall extensively, the intra-abdominal purse-string suture was closed to close the internal ring opening on the affected side and tied with a knot.
The child had no postoperative discomfort and was discharged from the hospital with no abnormalities on regular follow-ups and had returned to normal.
We reported a more unusual case with specific clinical manifestations that helped us to understand abdominoscrotal hydrocele further, and we conducted a systematic review of the relevant literature to provide an overview of the clinical manifestations, pathogenesis, diagnosis and treatment.
腹阴囊鞘膜积液（ASH）是一种罕见病症，其特征为腹股沟阴囊和腹部部分出现充满液体的肿块，对这种病症的了解，尤其是其发病机制，仍不完全清楚。
该患儿为一名2岁男童，4天前，在便秘症状期间无明显诱因出现阵发性腹痛，腹痛缓解后自行排便，偶有轻度咳嗽，无恶心呕吐。
“腹腔占位”。
腹腔镜探查，用组织剪打开囊肿最突出部位，广泛剪开囊肿壁，行腹腔荷包缝合以关闭患侧内环口并打结。
患儿术后无不适，出院时定期随访无异常，已恢复正常。
我们报告了一例具有特定临床表现的较为罕见的病例，这有助于我们进一步了解腹阴囊鞘膜积液，并且我们对相关文献进行了系统综述，以概述其临床表现、发病机制、诊断和治疗。
