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Srpski arhiv za celokupno lekarstvo 2018 Volume 146, Issue 11-12, Pages: 668-671
https://doi.org/10.2298/SARH180214045E
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Bilateral abdominoscrotal hydrocele in childhood

Elek Zlatan (Kosovska Mitrovica Clinical Hospital Centre, Department of Pediatric Surgery, Kosovska Mitrovica)
Mitrović Boban (Kosovska Mitrovica Clinical Hospital Centre, Department of Pediatric Surgery, Kosovska Mitrovica)
Dimić Saša (Kosovska Mitrovica Clinical Hospital Centre, Department of Pediatric Surgery, Kosovska Mitrovica)
Božović Aleksandar ORCID iD icon (Kosovska Mitrovica Clinical Hospital Centre, Department of Pediatric Surgery, Kosovska Mitrovica)
Mladenović Jovan (Faculty of Medicine, Kosovska Mitrovica)
Marjanović Zoran ORCID iD icon (Niš Clinical Centre, Clinic for Children’s Surgery and Orthopedics, Niš)

Introduction. Bilateral abdominoscrotal hydrocele is a rare entity in childhood. The etiology of abdominoscrotal hydrocele has not been fully clarified. The diagnosis is based on clinical examination, ultrasound and magnetic resonance imaging. The treatment is surgery. Case outline. This paper presents an eight-month-old boy who was admitted at the department of pediatric surgery due to bilateral swellings in the scrotum area. The changes were first noticed when he was three months old and the diagnosis of bilateral abdominoscrotal hydrocele was confirmed after the scrotum ultrasound examination. When the patient was six and eight months old, the symptoms have significantly increased, the magnetic resonance of the abdomen and the lesser pelvis was performed, and the bilateral abdominoscrotal hydrocele was successfully treated with inguinal surgery. The operative and postoperative course was uneventful. Conclusion. In this paper, we presented a rare form of hydrocele in children, as well as diagnostic evaluation that involved ultrasound and magnetic resonance examination. Surgical treatment by inguinal approach is also presented.

Keywords: bilateral, abdominoscrotal hydrocele, magnetic resonance