title: Hemorrhagic abdominoscrotal hydrocele. A challenging entity.
abstract: Abdominoscrotal hydrocele (ASH) is a rare condition in childhood. It presents an intraabdominal portion with homogeneous content that is usually excised through a groin approach. A pale child with a recurrent scrotal hydrocele and a huge solid-cystic retroperitoneal mass is reported. Because the diagnostic workup has not ruled out malignancy, a laparotomy was performed; however, ultimate diagnosis was hemorrhagic ASH. The clinical features and surgical management of ASH are addressed. This entity should be considered in front of tense or recurrent hydroceles or coexistent abdominal mass even though with heterogeneous content.
authors.affiliation: Division of Pediatric Surgery, Faculty of Medicine, São João Hospital, 4200-319 Porto, Portugal. estevao.costa@hsjoao.min-saude.pt <estevao.costa@hsjoao.min-saude.pt>
authors.forename: José
authors.initials: J
authors.lastname: Estevão-Costa
authors.forename: Hélder
authors.initials: H
authors.lastname: Morgado
authors.forename: Miguel
authors.initials: M
authors.lastname: Soares-Oliveira
authors.forename: Miguel
authors.initials: M
authors.lastname: Campos
authors.forename: José Luis
authors.initials: JL
authors.lastname: Carvalho
mesh_terms: D000005:Abdomen / Q000473:pathology; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D007813:Laparotomy; D008297:Male; D012008:Recurrence; D012611:Scrotum / Q000473:pathology; D006848:Testicular Hydrocele / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*