Minimally invasive surgical approach for abdominoscrotal hydrocele treatment: A case report

Abstract

Abdominoscrotal hydrocele (ASH) is a rare clinical finding comprising fluid collection between the layers of the tunica vaginalis, extending from the scrotum to the abdominal cavity. At present, there is no unique or recommended management for ASH, and different surgical treatments have been proposed. Despite an open surgical approach being the most common treatment, the use of laparoscopy has also previously been described. The most common intraoperative complication is devascularization of the testis due to damage to the spermatic cord, with consequent orchiectomy. We present a case of ASH treated with minimally invasive surgery, consisting of a right inguinotomy with puncture of the ASH by positioning a mono-J stent avoiding spermatic cord dissection and the risk of testis devascularization. Sclerotization of the hydrocelic sac with iodopovidone through a mono-J stent was performed with healing from ASH and preservation of testicular vascularization. Two months later, magnetic resonance imaging showed the presence of scar tissue replacing the previous ASH cavity.

Keywords

Abdominoscrotal hydrocele / Inguinotomy / Minimally invasive approach / Sclerotization

Acknowledgments

None.

Statement of ethics

According to institutional regulations, ethical approval for case reports is not required. The patient provided informed consent for this study. All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Conflict of interest statement

No conflict of interest has been declared by the authors.

Funding source

None.

Author contributions

SS: Conception and design of the work;

MM: Drafting the work;

IAM: Analysis of data;

FR: Analysis of data;

MPB: Analysis of data;

AB: Analysis of data;

CV: Final approval of the version to be published.

Data availability

The datasets generated during and/or analyzed during the current study are not publicly available, but are available from the corresponding author on reasonable request.

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