Cases reported "testicular hydrocele"

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1/149. Migration of the abdominal catheter of a ventriculoperitoneal shunt into the scrotum--case report.

    A 3-day-old male neonate presented with migration of the ventriculoperitoneal (VP) shunt tip through the patent processus vaginalis resulting in scrotal hydrocele. The association of myelomeningocele with hydrocephalus may have been a predisposing factor in this rare complication. Development of scrotal swelling or hydrocele in a child with VP shunt should be recognized as a possible shunt complication. ( info)

2/149. Migration of abdominal catheter of ventriculoperitoneal shunt into the scrotum.

    Four cases of migration of the ventriculoperitoneal (V-P) shunt tip through patent processus vaginalis resulting in scrotal hydrocele are presented. These cases are considered a rare complication of V-P shunts and causal mechanisms are discussed with a review of the literature. ( info)

3/149. early diagnosis and management of neonatal abdominoscrotal hydroceles.

    We present the two youngest patients diagnosed and treated for abdominoscrotal hydrocels. Given the progressive nature of this disease and the possible complications, early intervention is warranted. ( info)

4/149. The rate of hydrocele perforation during vasectomy. Is perforation dangerous?

    BACKGROUND: Hydroceles are not uncommon, are often occult, and may be associated with an inguinal hernia. The rate of hydrocele perforation during elective vasectomy has not been reported in the medical literature. Our objective was to estimate the frequency and consequences of hydrocele perforation incidental to vasectomy. methods: We retrospectively reviewed data from a series of patients undergoing vasectomy using the no-scalpel technique for the incidence of complications. A supplementary chart review was done to determine preoperative conditions, and telephone contacts were made if needed to assess later morbidity. RESULTS: We noted 7 perforations in 150 vasectomies. Only one patient had a hydrocele documented preoperatively. Three had histories of inguinal hernia and herniorrhaphy. Five patients had evidence of minor swelling early on, but none had additional morbidity or long-term associated complications. CONCLUSIONS: This small case series of vasectomies had a 4.7% incidence rate of perforated small or occult hydroceles. physicians should be aware of this potentially alarming but apparently minor phenomenon that may accompany vasectomy. ( info)

5/149. Unilateral nondisseminated actinomycosis of the hydrocele wall: a case report of actinomycosis in the urogenital tract.

    actinomycosis of the urogenital tract is rare and predominantly an infectious disease of horses, cattle, swine, and humans. This case report describes isolated actinomycosis of the hydrocele wall presenting as an inflamed right-sighted hydrocele. ( info)

6/149. Infected hydrocele in a neonate.

    A case of infected hydrocele in a neonate is presented. We describe this unusual condition, and discuss the diagnosis, pathophysiology and treatment. ( info)

7/149. Demonstration of scrotal disease on bone scintigraphy.

    The identification of scrotal disease on a bone scan is reportedly rare. Most previous reports involve abnormally increased accumulation of radioisotope in the scrotal region. This article includes a compilation of three cases of incidental scrotal photopenic defects on bone scintigraphy and a brief review of the literature. ( info)

8/149. Papillary serous carcinoma of the tunica vaginalis testis.

    This is a case report of a testicular papillary serous carcinoma of ovarian type (PSCOT) diagnosed in a 50-year-old man. The tumor presented in the form of multiple papillary exophytic excrescencies on the visceral tunica vaginalis testis lining the inner surface of a hydrocele sac. The tumor was histologically a papillary serous carcinoma with numerous psammoma bodies, indistinguishable from similar tumors arising on the surface of the ovary. Following the tumor's surgical removal, the patient was treated with the same drugs used to treat ovarian serous carcinomas, and he is alive two years after the initial diagnosis. PSCOT must be distinguished from mesothelioma of the tunica vaginalis testis, a tumor with a most unfavorable prognosis. As shown here, immunohistochemical findings can be useful for formulating the correct diagnosis of PSCOT. ( info)

9/149. Metastatic tumour of the tunica vaginalis testis from carcinoma of the stomach.

    A 50-year-old man with advanced inoperable gastric adenocarcinoma and diffuse peritoneal metastasis received six cycles of palliative chemotherapy and responded clinically with weight gain. Two months after the completion of chemotherapy, however, he developed a left hydrocele. Aspiration yielded 70 ml of yellowish hydrocele fluid, which contained metastatic adenocarcinoma cells, consistent with a gastric primary tumour. A diagnosis of malignant hydrocele was made. Two weeks later, he developed a painful recurrent left hydrocele with increasing pain and swelling. Left orchidectomy was performed. Tiny white mural nodules measuring 1 mm in size were noted on the tunica vaginalis. No focal lesion was noted in the testis. On microscopic examination, the tunica vaginalis showed reactive mesothelial hyperplasia and extensive lymphatic permeation by poorly differentiated adenocarcinoma, consistent with a gastric primary tumour. ( info)

10/149. Abdominoscrotal hydrocele mimicking a herniation of the bladder.

    We describe an 18-month-old boy with an abdominoscrotal hydrocele that extended into the space of Retzius and mimicked a herniation of the bladder. Preoperative ultrasonography of the scrotum and lower abdomen is recommended in boys with suspected large hydroceles. ( info)
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