A challenging abdomino-scrotal hydrocele - successful resolution with the help of interventional radiology guided sclerosis

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Abstract

Abdomino-scrotal hydrocele is a rare condition that presents in male infants. There is no consensus in the literature over treatment. We present the case of a 4-year-old boy with what was thought to be a straight forward congenital hydrocele that persisted despite ligation of a patent processus vaginalis and a Jaboulay procedure. A subsequent Magnetic Resonance Imaging scan identified a large intra-abdominal component connecting to the scrotum. Laparoscopic excision of the intra-abdominal component was performed successfully, but the hydrocele persisted. The hydrocele resolved without complication following two episodes of image intensifier guided sclerotherapy carried out by the interventional radiology team.

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Rassam, J., Healey, A. E., Wood, S. J., & Corbett, H. J. (2018). A challenging abdomino-scrotal hydrocele - successful resolution with the help of interventional radiology guided sclerosis. Journal of Surgical Case Reports, 2018(9). https://doi.org/10.1093/jscr/rjy232

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