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Hydrocele in Children

Hydrocele is a collection of fluid in the tunica vaginalis surrounding the testis. It can be either congenital or acquired. There are two main types - primary hydrocele which has no known cause and secondary hydrocele which develops due to an underlying condition like epididymo-orchitis or trauma. Clinical presentation includes a painless swelling of the scrotum that is transilluminating and fluctuant. Management depends on the type, with communicating hydroceles in children often resolving on their own and noncommunicating types sometimes requiring needle aspiration.

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85 views15 pages

Hydrocele in Children

Hydrocele is a collection of fluid in the tunica vaginalis surrounding the testis. It can be either congenital or acquired. There are two main types - primary hydrocele which has no known cause and secondary hydrocele which develops due to an underlying condition like epididymo-orchitis or trauma. Clinical presentation includes a painless swelling of the scrotum that is transilluminating and fluctuant. Management depends on the type, with communicating hydroceles in children often resolving on their own and noncommunicating types sometimes requiring needle aspiration.

Uploaded by

coolkuwaiti
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
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Hydrocele in children

BY DR. ALI NOUFAL ALKHALAF


ANATOMY OF SCROTAL

Scrotum;can be considered as an
outpouching of the lower part of the
anterior abdominal wall.it contains the
Testis,Epididymides,lower end of
spermatic cord
The wall of scrotum has the
;following layers
skin-1 •
superficial fascia-2 •
external spermatic fascia derived from-3 •
the external oblique
cremasteric muscle derived from the-4 •
internal oblique
internal spermatic fascia derived from -5 •
the fascia transversalis
tunica vaginalis-6 •
HYDROCELE •
Types •
Congenital •
Acquired •
Testis
The testis is a firm mobile organ lying within the •
scrotum.Each testis is surrounded by atough
fibrous capsule the tunica albuginea
Extending from the inner surface of the capsule •
is a series of fibrous septa that divide the interior
of the organ into lobules.lying within each lobule
are one to three coiled tubules open into a
network of channels called the rete testis.the
efferent ductules connect the rete to upper end
of epididymis
Causes of scrotal swelling
hyrocele-1 •
indirect inguinal hernia-2 •
varicocele-3 •
epididymal cyst-4 •
epididymo-orchitis-5 •
testicular tumor-6 •
haematocele-7 •
torsion of testis-9 •
sebaceous cyst-10 •
;DEFINTION OF Hydrocele
Collection of abnormal quantity of serous
fluid in the tunica vaginalis.If it contains
pus or blood it is called pyocele or
haematocele
.Hydrocele is more common than the two
other varieties.
TYPES OF HYDROCELE
;PRIMARY TYPE •
primary;cause unknown associate with-1 •
.patency of proccessus vaginalis
;It classified as follows •

communicating;it connect with the-1 –


.peritoneal cavity
noncommunicating;it dose not connect with-2 –
.peritoneal cavity
……CON
2- secondary; where the fluid accumulate
secondary to pathology inside the testis
like epididymo-orchitis,testicular tumor and
trauma.
;Clinical presentation
;History •
Age;primary hyrocele are most common •
over age of 40 but can occur in children
Secondary are more common between 20 •
.to 40 years
Symptoms;1-painless swelling •
embarrassment-2 –
frequent and painful micturation may occur-3 –
if hydrocele is secondary to epididymo-orchitis
Hydrocele not affect fertility •
;Examination
Position; the swelling usually unilateral but can be –
bilateral .if communicating can not feel the cord above
.the lump
Colour and temperature; normal –
Tenderness; primary are not tender but secondary may –
be tender
Composition; fluctuant and have fluid thrill if large –
enough
Reducibility; can not reduced –
Testis impalpable and transillumenate –
PICS OF HYDROCELE
CONT
;Mangement
Primary; in children •
Communicating;most neonatal hydrocel –
resolve in first 2 year of life if persists repair
.as herniotomy
Noncommunicating;usually resolves –
spontaneously or needle aspiration may
required

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