The Teaching Point

The extension of a giant abdominoscrotal mass may be difficult to evaluate by Ultrasound alone, and sagittal MRI is helpful in demonstrating the extension of such a mass through the inguinal canal into the abdominal cavity and its contents. MRI images are particularly useful to plan the correct surgical approach and to reduce the need of radical orchifuniculectomy for tumor (especially in young men).






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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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