PMC4026144_01
PMC4026144_02
Abdominal US: on the right side, above the bladder a cystic thin-walled mass, measured 53x27x20 mm with homogenous anechoic content (W - ASH, PM - vesica urinaria).
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After 3 months, the abdominal ultrasound revealed a thin-walled, anechoic cystic lesion with dimensions of 53x27x20 mm (Figure 1), located on the right side, above the bladder.
Abdominal US 4 weeks later: a cystic thin-walled mass significantly larger (60x43x26 mm).
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One month later, the control US examination demonstrated that the lesion slightly expanded, reaching the dimensions of 60x43x26 mm (Figure 2); computed tomography (CT) of the abdomen was performed in order to examine the pathology more thoroughly.
Axial contrast enhancement abdominal CT: a cystic, thin-walled, fluid filled, unenhancement mass in the right fossa iliaca (W - ASH, PM - vesica urinaria).
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Axial contrast enhancement abdominal CT: a cystic, thin-walled, fluid filled, unenhancement mass in the right inguinal canal (W - ASH, PM - vesica urinaria).
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Coronal and sagittal reformatted contrast enhancement abdominal CT: a cystic, thin-walled, fluid filled, unenhancement mass in the right lower quadrant that continous and communicate through the inguinal canal with a right hydrocele - an ASH. Size: 108x48x35 mm. (W - ASH, PM - vesica urinaria).
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Scrotal US: right hydrocele and right testis in the inguinal canal, normal in size and echotexture.
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In addition, the US examination of the scrotum was performed, which showed a right scrotal hydrocele and displacement of the right testicle into the inguinal canal (Figure 6), while the left testicle was in the scrotum.