Hydrocele: Difference between revisions
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*Most resorb by 18-24 months of age | *Most resorb by 18-24 months of age | ||
*Acute symptomatic hydroceles are not benign, require workup | *Acute symptomatic hydroceles are not benign, require workup | ||
==Differential Diagnosis== | |||
{{Template:Testicular DDX}} | |||
==Evaluation== | ==Evaluation== | ||
*+Transillumination | *+Transillumination | ||
*Consider testicular ultrasound | *Consider testicular ultrasound | ||
==Management== | ==Management== | ||
Revision as of 00:48, 15 September 2019
Background
- Accumulation of fluid around the testis
- Most common cause of painless scrotal swelling in children
- Secondary to persistent processus vaginalis
- Most are right sided
- Most resorb by 18-24 months of age
- Acute symptomatic hydroceles are not benign, require workup
Differential Diagnosis
Testicular Diagnoses
- Scrotal cellulitis
- Epididymitis
- Fournier gangrene
- Hematocele
- Hydrocele
- Indirect inguinal hernia
- Inguinal lymph node (Lymphadenitis)
- Orchitis
- Scrotal abscess
- Spermatocele
- Tinea cruris
- Testicular rupture
- Testicular torsion
- Testicular trauma
- Testicular tumor
- Torsion of testicular appendage
- Varicocele
- Pyocele
- Testicular malignancy
- Scrotal wall hematoma
Evaluation
- +Transillumination
- Consider testicular ultrasound
Management
- None indicated
Disposition
- Referral to urologist
- Hydroceles that persisted >1 year or in patients >18 months should undergo ultrasonography to rule out tumor vs inflammatory etiology