PDF(Pubmed)
Abstract：
Hydrocele, characterized by fluid accumulation in the tunica vaginalis, is a common benign scrotal condition. While unusual, hydrocele can lead to rare complications such as infection or lithiasis. A 60-year-old man presented with a 2-month history of left-sided scrotal swelling and discomfort. Physical examination and ultrasound revealed a large, nontransilluminant swelling with hyperechoic images. A provisional diagnosis of scrotal hydrocele with secondary lithiasis was made, and surgical exploration was performed. Intraoperatively, a fluid collection with small, hard stones was found. Cholesterol crystals were identified in the stone. Scrotal lithiasis in hydrocele is rare and is believed to result from stagnant fluid creating an ideal environment for cholesterol crystal formation. Ultrasound is crucial for diagnosis, revealing hyperechoic stones within the fluid collection. Surgical exploration, aspiration of fluid, and stone removal are standard treatments, usually conducted through a small scrotal incision, with a high success rate.
摘要：
鞘膜积液,以阴道膜中的液体积聚为特征，是一种常见的良性阴囊疾病。虽然不寻常，鞘膜积液可导致罕见的并发症，如感染或结石。一名60岁的男子有2个月的左侧阴囊肿胀和不适的病史。体格检查和超声波显示，具有高回声图像的非瞬态肿胀。对伴有继发性结石的阴囊积液进行了临时诊断，并进行了手术探查。术中,一个小的流体集合，发现了坚硬的石头。在结石中鉴定出胆固醇晶体。鞘膜积液中的阴囊结石很少见，据信是由于停滞的液体为胆固醇晶体形成创造了理想的环境。超声对诊断至关重要,在液体集合中发现高回声结石。手术探查,液体抽吸,取石是标准的治疗方法，通常通过阴囊小切口进行，成功率很高。
