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 | ||
| Line 6: | Line 8: | ||
*Most resorb by 18-24 months of age | *Most resorb by 18-24 months of age | ||
*Acute symptomatic hydroceles are not benign, require workup | *Acute symptomatic hydroceles are not benign, require workup | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Template:Testicular DDX}} | {{Template:Testicular DDX}} | ||
== | ==Evaluation== | ||
*+Transillumination | |||
*Consider [[testicular ultrasound]] | |||
==Management== | |||
*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 | *Hydroceles that persisted >1 year or in patients >18 months should undergo ultrasonography to rule out tumor vs inflammatory etiology | ||
==See Also== | ==See Also== | ||
*[[Testicular | *[[Testicular diagnoses]] | ||
*[[Testicular ultrasound]] | |||
==References== | |||
<references/> | |||
[[Category: | [[Category:Urology]] | ||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
Revision as of 20:20, 4 June 2020
Background
- 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
- Scrotal cellulitis
- Epididymitis
- Fournier gangrene
- Hematocele
- Hydrocele
- Indirect inguinal hernia
- Inguinal lymph node (Lymphadenitis)
- Orchitis
- Scrotal abscess
- Spermatocele
- Tinea cruris
- Testicular rupture
- Testicular torsion
- Testicular trauma
- Testicular tumor
- Torsion of testicular appendage
- Varicocele
- Pyocele
- Testicular malignancy
- Scrotal wall hematoma
Evaluation
- +Transillumination
- Consider testicular ultrasound
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