PMC8286184_01
(a) Photograph showing abdominal and scrotal components of abdominoscrotal hydrocele. (b) Excision of sac through inguinoscrotal incision.
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fig1
A 27-year-old male patient presented in the General Surgery OPD of Acharya Vinoba Bhave Hospital in 2019 with bilateral scrotal and lower abdominal swelling (Figure 1(a)), which was insidious in onset with dull aching dragging pain. The patient underwent uneventful, complete excision of the sac through the left inguinoscrotal approach (Figure 1(b)).
CECT showing hourglass appearance of ASH with intercommunicating scrotal and abdominal sac.
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fig2
The CECT abdomen revealed a large intercommunicating homogeneous hourglass-shaped fluid collection involving the lower abdomen and left scrotum (Figure 2), confirming the diagnosis.