PDF(Pubmed)
Abstract：
UNASSIGNED: Encysted spermatic cord hydrocele is a rare anomaly characterized by obstruction of processus vaginalis closure. Clinically, it presents as a swelling in the inguinal region extending to the upper scrotum and does not communicate with the peritoneal cavity. It is often mistaken for indirect inguinal hernias, inguinal lymphadenopathy, undescended testis, and primary tumors of the cord in infants and children, making the diagnosis challenging.
METHODS: We report the cases of five male patients aged nine months to 12 years who presented with painless swelling on the right side of the scrotal region. Physical examination revealed firm masses in the right inguinal region with positive transillumination, negative cough impulse tests, and irreducibility. Inguinal and scrotal ultrasonography showed an anechoic cystic lesion with thin walls, without any signs suggestive of a hernia. Patients were diagnosed with encysted spermatic cord hydrocele and advised to undergo cyst excision. The postoperative periods were uneventful, and expected recovery was observed at one-week and one-month follow-ups.
UNASSIGNED: Encysted spermatic cord hydroceles are rare causes of painless inguinal swelling. The medical history and clinical findings can be used to establish a diagnosis, which can be confirmed using ultrasonography. Management depends on differentiating between spermatic cord hydrocele and scrotal hydrocele and involves considering the type. Treatment options range from conservative measures to surgery, particularly for non-communicating hydroceles that persist beyond 12-18 months or enlarge in size.
CONCLUSIONS: Encysted hydrocele of the cord is rare and is often mistaken for indirect inguinal hernias in infants and children. This similarity makes the diagnosis challenging and necessitates vigilance from clinicians. Surgical intervention results in optimal outcomes, especially in cases where the hydrocele persists beyond 12-18 months or with size progression.
METHODS: We report the cases of five male patients aged nine months to 12 years who presented with painless swelling on the right side of the scrotal region. Physical examination revealed firm masses in the right inguinal region with positive transillumination, negative cough impulse tests, and irreducibility. Inguinal and scrotal ultrasonography showed an anechoic cystic lesion with thin walls, without any signs suggestive of a hernia. Patients were diagnosed with encysted spermatic cord hydrocele and advised to undergo cyst excision. The postoperative periods were uneventful, and expected recovery was observed at one-week and one-month follow-ups.
UNASSIGNED: Encysted spermatic cord hydroceles are rare causes of painless inguinal swelling. The medical history and clinical findings can be used to establish a diagnosis, which can be confirmed using ultrasonography. Management depends on differentiating between spermatic cord hydrocele and scrotal hydrocele and involves considering the type. Treatment options range from conservative measures to surgery, particularly for non-communicating hydroceles that persist beyond 12-18 months or enlarge in size.
CONCLUSIONS: Encysted hydrocele of the cord is rare and is often mistaken for indirect inguinal hernias in infants and children. This similarity makes the diagnosis challenging and necessitates vigilance from clinicians. Surgical intervention results in optimal outcomes, especially in cases where the hydrocele persists beyond 12-18 months or with size progression.
摘要：
■包囊精索鞘膜积液是一种罕见的异常，其特征是阴道突闭合阻塞。临床上,它表现为腹股沟区域的肿胀，延伸到上阴囊，并且不与腹膜腔连通。它经常被误认为是间接腹股沟疝，腹股沟淋巴结病,睾丸未降,婴儿和儿童的原发性脐带肿瘤，使诊断具有挑战性。
方法：我们报告了5例男性患者，年龄在9个月至12岁，在阴囊右侧出现无痛性肿胀。体格检查显示右侧腹股沟区域有强烈的肿块，有积极的透照，咳嗽冲动试验阴性,和不可约性。腹股沟和阴囊超声检查显示无回声囊性病变，壁薄，没有任何提示疝气的迹象.患者被诊断为精索鞘膜积液，并建议进行囊肿切除术。术后时间平稳，在一周和一个月的随访中观察到预期的恢复。
■精索鞘膜积液是无痛性腹股沟肿胀的罕见原因。病史和临床表现可用于建立诊断，这可以通过超声检查来确认。管理取决于精索鞘膜积液和阴囊鞘膜积液之间的区别，并涉及考虑类型。治疗方案从保守措施到手术,特别是对于持续超过12-18个月或扩大的非交通性鞘膜积液。
结论：脊髓鞘膜积液罕见，常被误认为是婴儿和儿童的间接腹股沟疝。这种相似性使诊断具有挑战性，需要临床医生保持警惕。手术干预导致最佳结果，特别是在鞘膜积液持续超过12-18个月或大小进展的情况下。
方法：我们报告了5例男性患者，年龄在9个月至12岁，在阴囊右侧出现无痛性肿胀。体格检查显示右侧腹股沟区域有强烈的肿块，有积极的透照，咳嗽冲动试验阴性,和不可约性。腹股沟和阴囊超声检查显示无回声囊性病变，壁薄，没有任何提示疝气的迹象.患者被诊断为精索鞘膜积液，并建议进行囊肿切除术。术后时间平稳，在一周和一个月的随访中观察到预期的恢复。
■精索鞘膜积液是无痛性腹股沟肿胀的罕见原因。病史和临床表现可用于建立诊断，这可以通过超声检查来确认。管理取决于精索鞘膜积液和阴囊鞘膜积液之间的区别，并涉及考虑类型。治疗方案从保守措施到手术,特别是对于持续超过12-18个月或扩大的非交通性鞘膜积液。
结论：脊髓鞘膜积液罕见，常被误认为是婴儿和儿童的间接腹股沟疝。这种相似性使诊断具有挑战性，需要临床医生保持警惕。手术干预导致最佳结果，特别是在鞘膜积液持续超过12-18个月或大小进展的情况下。
