PDF(Pubmed)
Abstract：
BACKGROUND: Hydrocele, an abnormal fluid collection between parietal and visceral layers of the tunica vaginalis, is the commonest cause of scrotal swelling, and it affects all age groups. Calcification of hydrocele sac/wall is a rare clinical entity. The etiology of calcification of hydrocele sac is not clear, but most literature proposes that calcification is secondary to chronic irritation. Trauma and infectious diseases including Schistosoma haematobium, filariasis, and tuberculosis can also cause calcification of the hydrocele sac.
METHODS: A 74-year-old Ethiopian male patient presented with left side scrotal swelling of 3 years duration, which was initially small but progressively increased. He had no history of trauma, and he had no history of swelling on the contralateral side. Scrotal ultrasound (US) showed a large echodebrinous left-side scrotal collection with calcifications, bilateral testis appear normal in size, echogenicity, and color Doppler flow with the index of likely chronic hematocele. Therefore, with a diagnosis of left-sided calcified hydrocele, the patient was operated on and the calcified sac was excised and sent for histopathology. Finally, the patient was discharged improved after 2 days of hospital stay.
CONCLUSIONS: Calcification of the tunica vaginalis is very rare and is probably due to chronic irritation of the wall from the coexisting hydrocele. Surgical excision of calcified hydrocele sac is the treatment of choice.
METHODS: A 74-year-old Ethiopian male patient presented with left side scrotal swelling of 3 years duration, which was initially small but progressively increased. He had no history of trauma, and he had no history of swelling on the contralateral side. Scrotal ultrasound (US) showed a large echodebrinous left-side scrotal collection with calcifications, bilateral testis appear normal in size, echogenicity, and color Doppler flow with the index of likely chronic hematocele. Therefore, with a diagnosis of left-sided calcified hydrocele, the patient was operated on and the calcified sac was excised and sent for histopathology. Finally, the patient was discharged improved after 2 days of hospital stay.
CONCLUSIONS: Calcification of the tunica vaginalis is very rare and is probably due to chronic irritation of the wall from the coexisting hydrocele. Surgical excision of calcified hydrocele sac is the treatment of choice.
摘要：
背景：鞘膜积液，阴道膜的顶叶和内脏层之间的异常液体收集，是阴囊肿胀最常见的原因,它影响所有年龄组。鞘膜积液/壁钙化是一种罕见的临床实体。鞘膜积液钙化的病因尚不清楚，但大多数文献认为钙化继发于慢性刺激。创伤和传染病，包括血吸虫病，丝虫病,肺结核也会引起鞘膜积液钙化。
方法：一名74岁的埃塞俄比亚男性患者，表现为左侧阴囊肿胀3年，最初很小，但逐渐增加。他没有外伤史,他没有对侧肿胀的病史。阴囊超声（US）显示左侧阴囊有大量回声样钙化，双侧睾丸大小正常，回声,彩色多普勒血流显示慢性积血可能。因此,诊断为左侧钙化性鞘膜积液，患者接受了手术，切除钙化囊并送去组织病理学检查。最后,患者住院2天后出院情况好转.
结论：阴道鞘膜钙化非常罕见，可能是由于共存鞘膜积液对壁的慢性刺激所致。手术切除钙化鞘膜积液是首选治疗方法。
方法：一名74岁的埃塞俄比亚男性患者，表现为左侧阴囊肿胀3年，最初很小，但逐渐增加。他没有外伤史,他没有对侧肿胀的病史。阴囊超声（US）显示左侧阴囊有大量回声样钙化，双侧睾丸大小正常，回声,彩色多普勒血流显示慢性积血可能。因此,诊断为左侧钙化性鞘膜积液，患者接受了手术，切除钙化囊并送去组织病理学检查。最后,患者住院2天后出院情况好转.
结论：阴道鞘膜钙化非常罕见，可能是由于共存鞘膜积液对壁的慢性刺激所致。手术切除钙化鞘膜积液是首选治疗方法。
