Unilateral hydroureteronephrosis caused by abdominoscrotal hydrocele.
Abdominoscrotal hydrocele is extremely rare in children. A case is presented of an unusually large abdominoscrotal hydrocele in a child, with secondary right hydroureteronephrosis due to contiguous pressure and right cryptorchidism. This entity, although unusual, should be considered in the differential diagnosis of a lower abdominal mass in children, as well as a cause of hydroureteronephrosis. Diagnosis is made with ultrasound, computerized tomography and occasionally excretory urography. Complete surgical excision through a groin incision is recommended, but optional inguinoabdominal or abdominal incisions have been reported. After surgical removal, healing is usually complete, including regression of the hydroureteronephrosis.
Klin
B
B
Pediatric Surgery Services, Assaf Harofeh Medical Center, Sackler School of Medicine, Tel Aviv University, Zerifin, Israel.
Efrati
Y
Y
Mor
A
A
Vinograd
I
I
D000005:Abdomen / Q000000981:diagnostic imaging; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000209:etiology*; D007223:Infant; D008297:Male; D011859:Radiography; D012611:Scrotum / Q000000981:diagnostic imaging; D006848:Testicular Hydrocele / Q000150:complications* / Q000000981:diagnostic imaging; D014463:Ultrasonography; D014515:Ureteral Diseases / Q000000981:diagnostic imaging / Q000209:etiology