PMC5822865_01
The scrotum was red and swollen.
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He was in grumpy mood, his right scrotum was red and swollen, and the cremasteric reflux was absent (Figure 1).
(a) Both testes were normal sized with normal blood flow. (b) The hydrocele wall was as thick as 3-5 mm (scale bar = 1 cm). (c) The omentum is inserted into the right inguinal canal. The blood flow was detected.
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The US showed normal testes and epididymis with normal blood flow by the color Doppler US (Figure 2(a)). On the cranial of the right testis, low-echoic hydrocele with multiseptum was present, and its capsulizing wall was as thick as 3-5 mm (Figure 2(b)). In the right inguinal canal, omentum was present in the patient's processus vaginalis with blood flow by the color Doppler US (Figure 2(c)).
(a) The stroma was thick and edematous with fibrin precipitation and lymphatic cell infiltration. (b) Pediatric noncommunicating hydrocele aged at 1 year as a control. The tissue was not as edematous as in our case, and less lymphatic cells were infiltrated (scale bar = 100 microm).
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fig3
Pathology of the hydrocele wall showed edema in the wall, fibrin precipitation, and lymphocyte infiltration (Figure 3(a)), indicating that severe inflammation caused scrotal pain and redness.