Hydrocele: Difference between revisions
| Line 3: | Line 3: | ||
*Most common cause of painless scrotal swelling in children | *Most common cause of painless scrotal swelling in children | ||
**Secondary to persistent processus vaginalis | **Secondary to persistent processus vaginalis | ||
*Most are right sided | |||
*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 | ||
Revision as of 18:14, 18 February 2015
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
Diagnosis
- +Transillumination
DDx
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
Treatment
- None indicated
Disposition
- Referral to urologist
- Hydroceles that have persisted > 1 year or patients older than 18 months should undergo ultrasonography to r/o tumor vs inflammatory etiology
See Also
Source
Tintinalli