Presentation
Hypertrophied scars were present at base of the testis and suprapubic region [Figure 2]. [cyberleninka.org]
Though, the occurrence of TVH in such a reposited testis is extremely rare clinical presentation. [doaj.org]
Most cases present with paratesticular mass or hydrocele, and they may or may not be associated with pain. [bjuinternational.com]
No symptoms of bowel obstruction or other intraabdominal disease were present. Ultrasound examination of the inguinal mass was performed (Figure 1-3). [appliedradiology.com]
Entire Body System
- Inguinal Mass
Ultrasound examination of the inguinal mass was performed (Figure 1-3). [appliedradiology.com]
The omentum may become entrapped in a hernia, causing chronic abdominal pain with a persistent inguinal mass. In females, the ovary or fallopian tube can enter hernia sacs and become incarcerated or strangulated. [emedicine.medscape.com]
- Swelling of Thigh
Figure 1: Swelling over upper medial aspect of left thigh Figure 2: Swelling over thigh with scars over base of the penis and suprapubic region Figure 3: Ultrasonographic view of left upper thigh swelling showing normal testis and surrounding fl uid collection [journals.lww.com]
thigh swelling showing normal testis and surrounding fluid collection REFERENCES 1. [cyberleninka.org]
Respiratoric
- Pleural Effusion
Introduction Malignant mesothelioma is a diffuse mass that usually spreads widely in the pleural space and it is associated with extensive pleural effusion as well as direct invasion to thoracic structures besides metastatic spread 1; 2; 3. [webmedcentral.com]
Gastrointestinal
- Regurgitation
In addition, duplex studies help identify the Valsalva augmented regurgitant flow in varicoceles. Plain Abdominal Radiography: In an incarcerated inguinal hernia, one may see gas overlying the groin. [ncbi.nlm.nih.gov]
Psychiatrical
- Self-Mutilation
Genital self-mutilation J Irol. 1993;150:1143–6 Cited Here 3. McAninch JW. [journals.lww.com]
Genital self-mutilation. J Irol Figure 4: Intraoperative view of exposed testis with surrounding amber-colored fluid 1993;150:1143-6. 3. McAninch JW. Management of genital skin loss. Urol Clin North Am 1989;16:387-97. [cyberleninka.org]
- Self-Mutilation
Genital self-mutilation J Irol. 1993;150:1143–6 Cited Here 3. McAninch JW. [journals.lww.com]
Genital self-mutilation. J Irol Figure 4: Intraoperative view of exposed testis with surrounding amber-colored fluid 1993;150:1143-6. 3. McAninch JW. Management of genital skin loss. Urol Clin North Am 1989;16:387-97. [cyberleninka.org]
Urogenital
- Scrotal Mass
History and exam Key diagnostic factors scrotal mass transillumination enlargement of scrotal mass following activity variation in scrotal mass during the day More key diagnostic factors Risk factors male sex prematurity and low birth weight infants < [bestpractice.bmj.com]
Quick Reference Key Factors scrotal mass transillumination enlargement of scrotal mass following activity variation in scrotal mass during the day Other Factors More information... 1st Tests to Order clinical diagnosis Other Tests to consider ultrasound [online.epocrates.com]
Although hydrocele is a very common situation that causes scrotal mass and pain in men, rupture of a hydrocele is an unusual condition in routine clinical practice. Less than ten cases have been reported in the current literature. [jurolsurgery.org]
Diagnosis: Transilluminate any mass in the scrotum. If light shines through the mass you are confident that it is cystic. The most common cystic scrotal mass in a child is a hydrocele or inguinal hernia. [meddean.luc.edu]
Algorithm of the likely diagnoses of a scrotal mass based on physical examination findings. Diagnosing Scrotal Masses Figure 1. Algorithm of the likely diagnoses of a scrotal mass based on physical examination findings. Figure 2. [aafp.org]
- Scrotal Pain
Inability to fully examine the testis, or the presence of other signs and symptoms such as fever, scrotal pain, erythema or swelling, abdominal pain or incomplete transillumination are indications for scrotal ultrasonography. [cancertherapyadvisor.com]
Clinical examination often yields nonspecific signs and symptoms such as scrotal pain, swelling or a palpable scrotal mass. [e-ultrasonography.org]
In this case, pain and swelling involve both the scrotal contents and the groin area. [auanet.org]
Dear Editor, We present the case of an 82-year-old male patient who attended our hospital emergency department complaining of pain and enlargement of his left scrotal sac. [scielo.br]
Other Presentations A hydrocele may present with scrotal pain in patients with accompanying acute epididymitis. [online.epocrates.com]
- Testicular Mass
A hydrocele must be distinguished from a true testicular mass, and transillumination may help, because the hydrocele will transilluminate but a testicular mass will be opaque. [library.med.utah.edu]
Microcalcifications associated with a testicular mass in a 32-year-old male with a non-tender left scrotal mass. A, B. [e-ultrasonography.org]
Scrotal ultrasonography is mandatory in nonpalpable testicles to rule out a subtending testicular solid mass requiring inguinal exploration. Otherwise, open hydrocelectomy via a scrotal incision is the standard treatment of idiopathic hydroceles. [nature.com]
The structures within the scrotal sac are examined to detect extra testicular masses or other abnormalities. In patients with small palpable nodules, scans should include the area of clinical concern. [ncbi.nlm.nih.gov]
- Testicular Pain
Diagnosis Features on history Features on exam Management Surgical Causes Testicular torsion Peak neonates and adolescents 13-16years Sudden onset unilateral testicular pain and swelling Pain usually constant May be pain in iliac fossa May follow minor [rch.org.au]
A 20-year-old male with left testicular pain. [e-ultrasonography.org]
CASE REPORT A 54 year-old male farmer was referred by his GP to our radiology department for a scrotal ultrasound to investigate a two week history of right testicular pain and swelling. [academic.oup.com]
Testicular torsion presents with the rapid onset of severe testicular pain and swelling. The onset of pain may be preceded trauma, physical activity, or by no activity (e.g. during sleep). [auanet.org]
- Salpingitis
[…] disease Hematospermia - Retrograde ejaculation Disorders of breast Chronic cystic mastitis - Mastitis - Gynecomastia - Galactorrhea - Mastodynia - Nipple discharge - Galactocele Inflammatory diseases of female pelvic organs Pelvic inflammatory disease: Salpingitis [bionity.com]
Workup
Sections Hydrocele Overview Practice Essentials History of the Procedure Problem Epidemiology Etiology Pathophysiology Presentation Indications Relevant Anatomy Contraindications Prognosis Show All DDx Workup Approach Considerations Laboratory Studies [emedicine.medscape.com]
The latter is the most common finding in children. 1–5 Inguinal hernia occurs 9 times more commonly in boys than in girls, with the majority occurring on the right (60%), left (25%), and 15% are bilateral. 6,7 Diagnosis and Workup Inguinal hernia Patients [ipeg.org]
Pleura
- Pleural Effusion
Introduction Malignant mesothelioma is a diffuse mass that usually spreads widely in the pleural space and it is associated with extensive pleural effusion as well as direct invasion to thoracic structures besides metastatic spread 1; 2; 3. [webmedcentral.com]
Treatment
High awareness of this entity may lead to earlier diagnosis and more timely and appropriate treatment, despite the unfavorable prognosis for treatment of secondary tumor of tunica vaginalis testis at present. [bjuinternational.com]
TY - JOUR T1 - [The treatment of tunica vaginalis hydrocele by the Lord technic]. [wwww.unboundmedicine.com]
Sclerosant treatment for hydroceles and epididymal cysts. Br Med J. 1979;2:704. CrossRef Google Scholar Yuvaraj J, Pani SP, Vanamail P, Ramaiah KD, Das PK. [link.springer.com]
A hydrocele is present in as many as 10 percent of all full-term male live births; however, in most cases, it disappears without treatment within the first 18 months. [choc.org]
In conservative treatment, non-steroidal anti-inflammatory drugs were used and scrotal elevation was performed to this patient. Four of the patients were treated successfully with conservative treatment in two weeks (2,3,5,6). [jurolsurgery.org]
Prognosis
The prognosis of the adult-onset hydrocele is mainly dependent on the underlying cause. For instance, filarial hydrocele's prognosis depends on its size and the severity of lymphatic obstruction. [ncbi.nlm.nih.gov]
High awareness of this entity may lead to earlier diagnosis and more timely and appropriate treatment, despite the unfavorable prognosis for treatment of secondary tumor of tunica vaginalis testis at present. [bjuinternational.com]
treatment, prevention, prognosis, and additional useful information HERE. [dovemed.com]
Overview Symptoms and Causes Diagnosis and Tests Management and Treatment Prevention Outlook / Prognosis Living With Hydrocele Overview Symptoms and Causes Diagnosis and Tests Management and Treatment Prevention Outlook / Prognosis Living With Back To [my.clevelandclinic.org]
Etiology
Epidemiology Predominant age: childhood Incidence Estimated at 0.7–4.7% of male infants Prevalence 1,000/100,000 Estimated at 1% of adult men Etiology and Pathophysiology Incomplete closure of the processus vaginalis trapping peritoneal fluid anywhere [unboundmedicine.com]
Advances in Urology 2014: 202434, 2014 Malignant mesothelioma of tunica vaginalis testis associated with long-lasting hydrocele: could hydrocele be an etiological factor?. [eurekamag.com]
In these cases, the etiologies of the rupture were sexual intercourse, trauma, long-term steroid exposure and idiopathic (2,3,4,5,6). Due to the limited number of reported cases, management of hydrocele is controversial. [jurolsurgery.org]
[…] account for most cases of hydroceles in infants and children non-communicating hydroceles complete closure of processus vaginalis most often idiopathic account for all cases of adult hydroceles Epidemiology incidence 1% of adult men 1-4.7% of male infants Etiology [step1.medbullets.com]
Etiology Congenital There are two main subtypes of congenital hydrocele: communicating hydrocele spermatic cord hydrocele 1,2 In the communicating type, fluid collects around a patent processus vaginalis which failed to successfully obliterate. [radiopaedia.org]
Epidemiology
Epidemiology of lymphatic filariasis with special reference to urogenital manifestations.Indian J Urol. 2005; 21: 44-449 Amorone Leiva J.L. Puscinski A.J. Gallego D. et al. [goldjournal.net]
Epidemiology Predominant age: childhood Incidence Estimated at 0.7–4.7% of male infants Prevalence 1,000/100,000 Estimated at 1% of adult men Etiology and Pathophysiology Incomplete closure of the processus vaginalis trapping peritoneal fluid anywhere [unboundmedicine.com]
[…] communicating hydroceles incomplete closure of processus vaginalis account for most cases of hydroceles in infants and children non-communicating hydroceles complete closure of processus vaginalis most often idiopathic account for all cases of adult hydroceles Epidemiology [step1.medbullets.com]
Contralateral hydrocele may be present in neonates who have neonatal testicular torsion.[6] Epidemiology Hydroceles predominantly occur in males and are rare in females. [online.epocrates.com]
Abdominal-scrotal hydrocele: fluid collection within processus vaginalis, extending into retroperitoneum Reactive hydrocele (noncommunicating): accumulation of fluid within tunica vaginalis caused by infection, trauma, or other inflammatory conditions Epidemiology [peds.unboundmedicine.com]
Pathophysiology
Epidemiology Predominant age: childhood Incidence Estimated at 0.7–4.7% of male infants Prevalence 1,000/100,000 Estimated at 1% of adult men Etiology and Pathophysiology Incomplete closure of the processus vaginalis trapping peritoneal fluid anywhere [unboundmedicine.com]
The pathophysiology of hydroceles requires an imbalance of scrotal fluid production and absorption. [emedicine.medscape.com]
[…] a patent processus vaginalis. [2] [3] [7] Patients with connective tissue disorders have a high risk of communicating hydroceles. [3] Outside the US, hydroceles may also be seen in patients with filariasis as a result of lymphatic obstruction. [14] Pathophysiology [online.epocrates.com]
The main pathophysiology of the hydrocele formation is excessive fluid production or absorption defect from the layers of the tunica vaginalis. Hydrocele represents the most common cause of painless scrotal swelling (1,3). [jurolsurgery.org]
Pathophysiology The testicles are anatomically found just below the kidneys in the peritoneal cavity during fetal development. [news-medical.net]
Prevention
Prevention Can a hydrocele be prevented? There is nothing you can do to prevent your baby from getting a hydrocele. For adolescent and adult men, the best protection against a hydrocele is to keep the testicles and scrotum free of injury. [my.clevelandclinic.org]
Centers for Disease Control and Prevention (CDC) 1600 Clifton Rd. [dovemed.com]
Prevention & Risk Assessment Prevention & Risk Assessment What are the symptoms of a hydrocele? The following are the most common symptoms of hydrocele. However, each child may experience symptoms differently. [childrensnational.org]
How can a hydrocele be prevented? The majority of hydroceles in children are congenital and thus cannot be prevented. What is the evidence? Kapur, P, Caty, MG, Glick, PL. “Pediatric hernias and hydroceles”. [cancertherapyadvisor.com]