Abdomino-Scrotal Hydrocele in Infants: A Case Report

Introduction: Abdomino-scrotal hydrocele (HAS) is a form of hydrocele in which there is an hourglass communication between a hydrocele and the abdominal cavity through the inguinal canal. We report in this study the first case of abdomino-scrotal hydrocele from our center, discovered incidentally intraoperatively and successfully treated, in a 14-month-old infant. Case Report: A 14-month-old infant with no previous history was admitted for an acute left scrotal swelling. Initial examination revealed a left scrotal swelling, painless and non-expansive, with a palpated testicle. The transillumination test was positive. Contralateral testis and scrotum were normal. Elsewhere, the physical examination was unremarkable. In view of these signs, we concluded that the patient had a left vaginal hydrocele and recommended surgery. No radiological examination was ordered. The preoperative work-up was normal. After a left inguinal incision, exploration revealed an inguinal pouch. The presence of a second intra-abdominal pouch was suspected, given the continuity of the scrotal sac through the inguinal canal. This was larger than the first. The pouches were resected, and the inguinal canal closed. The left testicle appeared normal. Postoperative follow-up was straightforward, with a 12-month postoperative follow-up. Conclusion: HAS is a rare pathology in children and is still little-known by some practitioners. It should be considered in infants presenting with a hydrocele.