Question:

Which one is false in regard to hydrocele?
1. A reported management for the hydrocele is by antibiotics and cortisone.
2. The third theory postulates the presence of oversize testis in the scrotum.
3. The surgical excision of abdominoscrotal hydrocele is a safe and simple procedure.
4. Sometimes there is a spontaneous resolution of the abdominoscrotal hydrocele.
5. The operative approach to resection of an abdominoscrotal hydrocele is always by an inguinal approach.





Answer:

The correct answers for the question "Which one is false in regard to hydrocele?" are:

1. A reported management for the hydrocele is by antibiotics and cortisone.

2. The third theory postulates the presence of oversize testis in the scrotum.

3. The surgical excision of abdominoscrotal hydrocele is a safe and simple procedure.

4. Sometimes there is a spontaneous resolution of the abdominoscrotal hydrocele.

5. The operative approach to resection of an abdominoscrotal hydrocele is always by an inguinal approach.



Explanation

1. To date, the only reported management is by surgical excision.

2. The third theory postulates the presence of a preformed congenital peritoneal diverticulum with an underlying anatomic abnormality of the pre-existing abdominal sac.

3. surgery is not easy when the anatomy is distorted and as it is an uncommon condition, surgeons may not be able to build up a large experience.

4. Spontaneous resolution has not been documented in the literature.

5. The operative approach to resection of an abdominoscrotal hydrocele depends on the size of the abdominal component of the sac and can be included: inguinal, peritoneal or even scrotal approaches.



From the manuscript:
A giant heterogeneous abdominoscrotal mass: haemorrhagic hydrocele
Radiology Case. 2009 Jun; 3(6):16-20


This article belongs to the GU section.




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From the manuscript

A giant heterogeneous abdominoscrotal mass: haemorrhagic hydrocele

Free full text article: A giant heterogeneous abdominoscrotal mass: haemorrhagic hydrocele

Abstract
A hydrocele is a collection of fluid in the space surrounding the testicle between the layers of the tunica vaginalis. Occasionally the scrotal hydrocele may extend through the inguinal canal, deep inguinal ring, and into the abdomen as an abdominoscrotal hydrocele. Traditionally, abdominoscrotal hydrocele have been evaluated and diagnosed with US. However if a relationship between the abdominal mass and the hydrocele is not clearly defined by sonography, the traditional modality for imaging the abdomen and the scrotum such as CT or MRI, should be considered because it can be difficult to clearly delineate the anatomy and the full extent of the abnormality. We present a rare case of a giant hemorrhagic abdominoscrotal hydrocele in a 24 year old man that required an elective operative laparotomy for complete excision of the abdominolscrotal mass.






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