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.