RESUMO
The abdominoscrotal hydrocele (ASH) is a rare variant of hydrocele of the tunica vaginalis with fluid accumulation into the abdominal cavity passing through the inguinal canal. The etiology of ASH is not clear. The positive diagnosis depends on the clinical data (hydrocele + abdominal mass). It is confirmed by means of echography and or by TDM. The treatment is surgical complete resection of the vaginalis with ligation of the peritoneal cavity. This report concerns the observation of a huge ASH, so far described in a literature review. We try to distinguish the diagnostic and therapeutic elements of this exceptional pathology.
Assuntos
Escroto , Hidrocele Testicular , Abdome , Adulto , Humanos , Masculino , Hidrocele Testicular/diagnóstico , Hidrocele Testicular/cirurgiaRESUMO
The authors report three cases of cyst of the urachus, one of which was complicated by infection. This diagnosis is only rarely established clinically. The current performance of ultrasonography allows very precise analysis of the anterosuperior surface of the bladder, which may reveal the diagnosis. The authors discuss the problems raised by cysts of the urachus and emphasize the importance of clinical history, physical examination and complementary investigations, particularly CT which should allow the diagnosis of this disease, which needs to be treated surgically.