Ascites with a communicating hydrocele detected by peritoneal scintigraphy.

Abstract

A hydrocele is a collection of fluid within the tunica or processus vaginalis. Most pediatric hydroceles are congenital and adult hydroceles are usually secondary. The latter can present acutely from local injury, infection, radiotherapy, or increased intraabdominal pressure. A 53-year-old man with underlying liver cirrhosis was admitted for dyspnea and abdominal distention. Massive ascites with swelling of the right hemiscrotum was noted. A communicating hydrocele was detected by peritoneal scintigraphy. After surgical repair of the communicating shunt by a Bassini procedure, the problem of the right hydrocele was resolved.