{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:55:50Z","timestamp":1786654550995,"version":"build-2736575974"},"reference-count":19,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,5,11]]},"abstract":"<jats:p>Abdominoscrotal hydrocele (ASH) is the rarest type of hydrocele. This condition is characterised by a large abdominal and scrotal component connected by an isthmus within the inguinal canal. The incidence among the paediatric population is reported to be less than 3%, although it might be underdiagnosed. Several theories have been proposed in the literature but the aetiology of ASH remains unknown. Diagnosis can be made clinically and confirmed by ultrasound. Spontaneous resolution is rare and long-standing ASH may lead to complications, thus early surgical intervention is recommended. Different techniques have been described, but dissection remains challenging due to the tunica vaginalis adherence to the testis and the distal cord. We present a male infant with ASH who underwent inguinal repair. The procedure was facilitated by needle decompression of the mass. Identification and preservation of the vessels and vas deferens was done successfully without compromising the testis.<\/jats:p>","DOI":"10.1136\/bcr-2017-220370","type":"journal-article","created":{"date-parts":[[2017,5,27]],"date-time":"2017-05-27T11:45:21Z","timestamp":1495885521000},"page":"bcr-2017-220370","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["Abdominoscrotal hydrocele in an infant boy"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6849-2967","authenticated-orcid":false,"given":"Eliana","family":"Costantino","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George S","family":"Ganesan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J Chadwick","family":"Plaire","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,5,27]]},"reference":[{"key":"2025042706164161000_2017.may27_1.bcr-2017-220370.1","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1016\/S0090-4295(00)00478-7","article-title":"Abdominoscrotal hydrocele: a reliable surgical technique","volume":"55","author":"Ferro","year":"2000","journal-title":"Urology"},{"key":"2025042706164161000_2017.may27_1.bcr-2017-220370.2","first-page":"65","article-title":"Abdominoscrotal hydrocele, an underestimated entity","volume":"XVII","author":"Spataru","year":"2014","journal-title":"Jurnalul pediatrului"},{"key":"2025042706164161000_2017.may27_1.bcr-2017-220370.3","doi-asserted-by":"crossref","first-page":"1561","DOI":"10.1016\/j.jpedsurg.2016.06.012","article-title":"Abdominoscrotal hydrocele: A systematic review","volume":"51","author":"Doudt","year":"2016","journal-title":"J Pediatr Surg"},{"key":"2025042706164161000_2017.may27_1.bcr-2017-220370.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.08.054"},{"key":"2025042706164161000_2017.may27_1.bcr-2017-220370.5","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1016\/j.jpedsurg.2016.02.029","article-title":"The treatment of abdominoscrotal hydrocele: Is there a role for nonoperative management?","volume":"51","author":"Khorasani","year":"2016","journal-title":"J Pediatr Surg"},{"key":"2025042706164161000_2017.may27_1.bcr-2017-220370.6","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1016\/j.ijscr.2015.08.027","article-title":"Large abdominoscrotal hydrocele: Uncommon surgical entity","volume":"15","author":"Kamble","year":"2015","journal-title":"Int J Surg Case Rep"},{"key":"2025042706164161000_2017.may27_1.bcr-2017-220370.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2008.12.002"},{"key":"2025042706164161000_2017.may27_1.bcr-2017-220370.8","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1007\/s10029-009-0624-9","article-title":"Abdominoscrotal hydrocele in a 9-month old infant","volume":"15","author":"Blevrakis","year":"2011","journal-title":"Hernia"},{"key":"2025042706164161000_2017.may27_1.bcr-2017-220370.9","unstructured":"Dupuytren G . In: Lecons Orales de Clinique Chirurgicale. Vol. 4. 444. Paris: BMJ Publishing Group, 1834."},{"key":"2025042706164161000_2017.may27_1.bcr-2017-220370.10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.3053.13"},{"key":"2025042706164161000_2017.may27_1.bcr-2017-220370.11","doi-asserted-by":"crossref","first-page":"750","DOI":"10.1097\/00000658-194804000-00018","article-title":"Hydrocele of the Canal of Nuck with Large Cystic Retroperitoneal Extension","volume":"127","author":"McCune","year":"1948","journal-title":"Ann Surg"},{"key":"2025042706164161000_2017.may27_1.bcr-2017-220370.12","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1016\/0090-4295(77)90103-0","article-title":"Etiology of abdominoscrotal hydrocele","volume":"10","author":"Brodman","year":"1977","journal-title":"Urology"},{"key":"2025042706164161000_2017.may27_1.bcr-2017-220370.13","doi-asserted-by":"crossref","unstructured":"Virgilio E , Mercantini P , Tallerini A , et al . 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