Murillo Mirat J, Morán Penco J M, Fernández de Alarcón L, Cabello Padial J, Sanjuan Rodríguez S
Servicio de Urología, Hospital Regional Infanta Cristina, Badajoz.
Actas Urol Esp. 1994 Sep;18(8):838-40.
Abdominal-scrotal hydrocele is an uncommon lesion, most specially during childhood. It is an entity, though, that should be included in the differential diagnosis of abdominal masses in children, and also considered as a likely cause of ureterohydronephrosis. Diagnosis is arrived at through ultrasound, CAT and occasional excretory urography. Radical surgical excision using inguinal access is the recommended approach, but sometimes the inguinoabdominal or pure abdominal approaches can be performed. Following surgical ablation the cure is complete, and includes remission of the ureterohydronephrosis when present. This paper reviews the literature, presents one case and discusses both the diagnostic possibilities and therapeutic alternatives.
腹-阴囊鞘膜积液是一种罕见的病变,在儿童期尤为少见。然而,它是一种应列入儿童腹部肿块鉴别诊断的疾病,也应被视为输尿管积水-肾积水的可能病因。通过超声、计算机断层扫描(CAT)以及偶尔的排泄性尿路造影进行诊断。推荐采用经腹股沟入路的根治性手术切除,但有时也可采用腹股沟-腹部联合入路或单纯腹部入路。手术切除后可实现完全治愈,若存在输尿管积水-肾积水,也会随之缓解。本文回顾了相关文献,呈现了一例病例,并讨论了诊断可能性和治疗选择。