Abdominoscrotal hydrocele: a plea for a scrotal repair

摘要

We read with great interest the article by Cuervo et al [1] on their perspectives about the etiology and management of the abdominoscrotal hydrocele. All 6 reported cases were characterized by an initial large scrotal hydrocele, which gradually increased in size and ultimately expanded into the abdominal canal. Once the diagnosis was made, all patients were deemed candidates for complete hydrocelectomy, which was carried out using an inguinal approach. They concluded that any tense neonatal scrotal hydrocele should be carefully examined monthly, monitored ultrasonographically if there is a tendency to expand into the inguinal canal, and submitted to surgery if an abdominoscrotal hydrocele develops.