Hydrocele: Difference between revisions

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==Background==
==Background==
[[File:Gray1144.png|thumb|Scrotal anatomy]]
[[File:Figure 28 01 02.jpg|thumb|Scrotal anatomy]]
*Accumulation of fluid around the testis
*Accumulation of fluid around the testis
*Most common cause of painless scrotal swelling in children
*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
*Most resorb by 18-24 months of age
*Acute symptomatic hydroceles are not benign, require workup


==Diagnosis==
==Differential Diagnosis==
{{Template:Testicular DDX}}
 
==Evaluation==
*+Transillumination
*+Transillumination
*Consider [[testicular ultrasound]]


==DDx==
==Management==
*Hydrocele
*Hematocele
*Spermatocele
*Malignancy
 
==Treatment==
*None indicated
*None indicated


==Disposition==
==Disposition==
*Referral to urologist
*Referral to urologist
*Hydroceles that persisted >1 year or in patients >18 months should undergo ultrasonography to rule out tumor vs inflammatory etiology
==See Also==
*[[Testicular diagnoses]]
*[[Testicular ultrasound]]
==References==
<references/>


==Source==
Tintinalli


[[Category:GU]]
[[Category:Urology]]
[[Category:Peds]]
[[Category:Pediatrics]]

Revision as of 20:20, 4 June 2020

Background

Scrotal anatomy
Scrotal anatomy
  • 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

Differential Diagnosis

Testicular Diagnoses

Evaluation

Management

  • None indicated

Disposition

  • Referral to urologist
  • Hydroceles that persisted >1 year or in patients >18 months should undergo ultrasonography to rule out tumor vs inflammatory etiology

See Also

References