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Tunica Vaginalis Hydrocele


Presentation

  • Hypertrophied scars were present at base of the testis and suprapubic region [Figure 2] .[urologyannals.com]
  • 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]
Inguinal Mass
Gangrene
  • […] cataract cause cavity cellular Chir cicatrix circumstances clavicle coats compression consequence considerable cure dilatation discharge disease divided Dupuytren edge effect external external iliac artery fascia femoral artery finger flap fluid frequently gangrene[books.google.de]
  • Fournier's gangrene—a rare complication of hydrocele aspiration . J. Coll. Physicians Surg. Pak. 14 , 304–305 (2004). 35. Horstman, W. G. Scrotal imaging . Urol. Clin. North Am. 24 , 653–671 (1997). 36. Norões, J. et al .[nature.com]
Dyspnea
  • Browse recently published Learning/CME Learning/CME View all learning/CME CME A Trial of a Shorter Regimen for Rifampin-Resistant Tuberculosis Case 10-2019: A 69-Year-Old Man with Progressive Dyspnea Mucinous Ovarian Carcinoma Challenge Yourself Interactive[nejm.org]
Withdrawn
  • […] excision technique is intended to be used, having externalized it intact, the sac is cut open, frontally away from the testis, the epididymis, the vas deferens and the spermatic cord structures in an avascular area and hydrocele fluid samples may be withdrawn[pagniurologia.it]
Headache
  • Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Case 3-2019: A 70-Year-Old Woman with Fever, Headache, and Progressive Encephalopathy Caplacizumab Treatment for Acquired Thrombotic Thrombocytopenic Purpura Randomized[nejm.org]
Encephalopathy
  • Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Case 3-2019: A 70-Year-Old Woman with Fever, Headache, and Progressive Encephalopathy Caplacizumab Treatment for Acquired Thrombotic Thrombocytopenic Purpura Randomized[nejm.org]
Scrotal Mass
  • Evaluation of the painless scrotal masses. Korean J Urol 1996;37:921–925.[synapse.koreamed.org]
  • Left spermatic vain joining the left renal vein directly at a 90 angle Longer left spermatic vein with increased hydrostatic pressure Pressure of superior mesenteric artery on the left renal vein (Nutcracker phenomenon) 14 PRESENTATION Complaints of a scrotal[slideplayer.com]
  • The presence of a painless scrotal mass associated with reactive and recurrent hydrocele - a feature observed in more prevalent and benign testicular conditions - makes it more difficult to suspect of a malignant etiology ( 1 , 4 ) .[scielo.br]
  • The presence of a painless scrotal mass associated with reactive and recurrent hydrocele – a feature observed in more prevalent and benign testicular conditions – makes it more difficult to suspect of a malignant etiology(1,4).[docksci.com]
  • Inguinoscrotal hernia - rare scrotal mass with multicystic structure. Peristaltic movements can occasionally be observed.[fetalultrasound.com]
Scrotal Pain
  • Malignant mesothelioma of the tunica vaginalis: presenting with intermittent scrotal pain and hydrocele. Case Rep Med. 2012;2012:189170. [ Links ] 5 Hai B, Yang Y, Xiao Y, et al.[scielo.br]
  • Malignant mesothelioma of the tunica vaginalis: presenting with intermittent scrotal pain and hydrocele. Case Rep Med. 2012;2012:189170. 5. Hai B, Yang Y, Xiao Y, et al.[docksci.com]
  • 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]
  • Delayed onset of scrotal pain and swelling Tender, swollen testis Bruising Oedema Haematoma or haematocele Surgical review in all testicular trauma, unless the testis is clearly felt to be normal and without significant tenderness Hydrocele – collection[rch.org.au]
  • Keywords Malignant mesothelioma, Tunica vaginalis, Hydrocele, Scrotal pain Introduction Malignant mesothelioma of the tunica vaginalis (MMTV) is a rare neoplasm which represents approximately 5% of mesotheliomas [ 1 ].[clinmedjournals.org]
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]
  • 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 Mass
  • mass Open hydrocelectomy via scrotal incision is the standard approach for idiopathic hydrocele in adolescents Observation should be the initial approach in postvaricocelectomy hydrocele, unless the hydrocele is very large and tense Access options Access[nature.com]

Treatment

  • TY - JOUR T1 - [The treatment of tunica vaginalis hydrocele by the Lord technic].[wwww.unboundmedicine.com]
  • , treatment, prevention, prognosis, and additional useful information HERE .[dovemed.com]
  • SECONDARY HYDROCELE Infection Trauma Tumor Abnormalities in inguinal lymph nodes 6 DIFFERENTIAL DIAGNOSIS: SCROTAL CYSTIC MASSES Indirect inguinal hernia Epididymis cyst Hydrocele Varicocele Spermatocele Piocele Hematocele 7 TREATMENT Communicating Tying[slideplayer.com]
  • Radical inguinal orchiectomy with en bloc resection of the tunica vaginalis is the treatment of choice for paratesticular malignant mesothelioma. Recurrence is described in approximately 60% of cases ( 1 , 4 ) .[scielo.br]

Prognosis

  • , treatment, prevention, prognosis, and additional useful information HERE .[dovemed.com]
  • Diagnosis and prognosis of malignant mesothelioma of the tunica vaginalis testis. Can Urol Assoc J. 2012;6:E238-41. [ Links ] 6 Goel A, Agrawal A, Gupta R, et al.[scielo.br]
  • Diagnosis and prognosis of malignant mesothelioma of the tunica vaginalis testis. Can Urol Assoc J. 2012;6:E238– 41. 6. Goel A, Agrawal A, Gupta R, et al. Malignant mesothelioma of the tunica vaginalis of the testis without exposure to asbestos.[docksci.com]
  • A stone in hydrocele does not change the management or prognosis; however, if the stone is adherent to the tunica albuginea and does not change position on ultrasonography the possibility of a tumor has to be borne in mind.[jmedsoc.org]

Etiology

  • 11 VARICOCELE Defined as an abnormal dilatation and distension of the veins of the pampiniform plexus 12 INCIDENCE 15% in the general population (8% - 23%) 16,3% in adolescents (12,4% - 25,8%) 33% in infertile men (19% - 41%) 58% - 93% left sided 13 ETIOLOGY[slideplayer.com]
  • The scrotal hydrocelectomy can also be practiced safely when the ultrasound examination is normal in younger patients with a clear etiology for the hydrocele.[pagniurologia.it]
  • The presence of a painless scrotal mass associated with reactive and recurrent hydrocele - a feature observed in more prevalent and benign testicular conditions - makes it more difficult to suspect of a malignant etiology ( 1 , 4 ) .[scielo.br]
  • The presence of a painless scrotal mass associated with reactive and recurrent hydrocele – a feature observed in more prevalent and benign testicular conditions – makes it more difficult to suspect of a malignant etiology(1,4).[docksci.com]
  • Etiology Most pediatric hydroceles are congenital and, in the majority of cases, resolve within the first year of life. Most adult hydroceles are acquired.[online.epocrates.com]

Epidemiology

  • 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]
  • Epidemiology Clinically apparent scrotal hydroceles are evident in 6% of term males beyond the newborn period. Most paediatric hydroceles are congenital but rarer causes include malignancy and infection.[patient.info]
Sex distribution
Age distribution

Pathophysiology

  • […] 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]
  • Pathophysiology The testicles are anatomically found just below the kidneys in the peritoneal cavity during fetal development.[news-medical.net]
  • ., varicocelectomy, filariasis, pelvic radiation, malignancy) Pathophysiology Communicating hydrocele can become indirect inguinal hernia, with potential for incarceration. Noncommunicating hydrocele generally thought to be low clinical concern.[peds.unboundmedicine.com]

Prevention

  • Centers for Disease Control and Prevention (CDC) 1600 Clifton Rd.[dovemed.com]
  • Covering the full spectrum of health conditions seen in the primary care of children, Pediatric Primary Care, 5th Edition emphasizes both prevention and management from the unique perspective of the Nurse Practitioner.[books.google.de]
  • Considering that the tumor may be indistinguishable from other entities until histological confirmation, a radical orchiectomy is required in most cases in order to prevent late diagnosis.[scielo.br]
  • Considering that the tumor may be in- 64 distinguishable from other entities until histological confirmation, a radical orchiectomy is required in most cases in order to prevent late diagnosis. REFERENCES 1.[docksci.com]

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