Specialized abdominoscrotal hydrocele: Case report (CARE-compliant)

作者：Ti-Xue Wang, Ya-Long Ma, Nuan Han, Lin Feng, Chong-Fang Zhang · 发表于：Medicine · 年份：2025 · DOI：10.1097/md.0000000000042974 · 研究领域：Testicular diseases and treatments、Urological Disorders and Treatments、Urologic and reproductive health conditions

RATIONALE: Abdominoscrotal hydrocele (ASH) is a rare condition characterized by fluid-filled masses in the inguinal scrotal and abdominal components, and the understanding of this condition, especially its pathogenesis, remains incompletely transparent. PATIENT CONCERNS: The child, a 2-year-old boy, 4 days ago, no apparent cause of paroxysmal abdominal pain during the constipation symptoms, self-defecation after abdominal pain relief, occasional mild cough, no nausea and vomiting. DIAGNOSES: "Abdominal cavity occupation." INTERVENTIONS: Laparoscopic exploration, the most prominent position of the cyst was opened with tissue scissors to cut the cyst wall extensively, the intra-abdominal purse-string suture was closed to close the internal ring opening on the affected side and tied with a knot. OUTCOMES: The child had no postoperative discomfort and was discharged from the hospital with no abnormalities on regular follow-ups and had returned to normal. LESSONS: We reported a more unusual case with specific clinical manifestations that helped us to understand abdominoscrotal hydrocele further, and we conducted a systematic review of the relevant literature to provide an overview of the clinical manifestations, pathogenesis, diagnosis and treatment.