Minimally invasive surgical approach for abdominoscrotal hydrocele treatment:A case report  

作　　者：Salvatore Siracusano Martina Monti Igino Andrea Magli Federico Romantini Maria Paola Di Bartolomeo Antonio Bernardini Carlo Vicentini 

机构地区：[1]Department of Urology,L'Aquila University,Mazzini Hospital,Teramo,Italy [2]Department of Radiology,Mazzini Hospital,Teramo,Italy

出　　处：《Current Urology》2024年第3期244-246,共3页当代泌尿学（英文）

摘　　要：Abdominoscrotal hydrocele(ASH)is a rare clinical finding comprising fluid collection between the layers of the tunica vaginalis,extending from the scrotum to the abdominal cavity.At present,there is no unique or recommended management for ASH,and different surgical treatments have been proposed.Despite an open surgical approach being the most common treatment,the use of laparoscopy has also previously been described.The most common intraoperative complication is devascularization of the testis due to damage to the spermatic cord,with consequent orchiectomy.We present a case of ASH treated with minimally invasive surgery,consisting of a right inguinotomy with puncture of the ASH by positioning a mono-J stent avoiding spermatic cord dissection and the risk of testis devascularization.Sclerotization of the hydrocelic sac with iodopovidone through a mono-J stent was performed with healing from ASH and preservation of testicular vascularization.Two months later,magnetic resonance imaging showed the presence of scar tissue replacing the previous ASH cavity.

关 键 词：Abdominoscrotal hydrocele Inguinotomy Minimally invasive approach SCLEROTIZATION 

分 类 号：R442.5[医药卫生—诊断学]