Hemorrhagic abdominoscrotal hydrocele. A challenging entity.
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.
Estevão-Costa
José
J
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>
Morgado
Hélder
H
Soares-Oliveira
Miguel
M
Campos
Miguel
M
Carvalho
José Luis
JL
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*