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[edit] Discussion of Hydrocele

  • Hydroceles are predominantly anechoic fluid collections that occur in the potential space between the two layers of the tunica vaginalis and/or along the spermatic cord.
  • The most common cause of painless scrotal swelling in children.
  • In the normal scrotum, 1–2 mL of serous fluid may be observed in the potential tunica vaginalis cavity and should not be mistaken for hydrocele.
  • Virtually all hydroceles are congenital in neonates and infants and associated with a patent processus vaginalis, which allows peritoneal fluid to enter the scrotal sac.
  • In older children and adolescents, hydroceles are usually acquired and are the result of an inflammatory process, testicular torsion, trauma, or a tumor.

[edit] Imaging Findings for Hydrocele

[edit] US

  • Anechoic fluid collection surrounding the anterolateral aspects of the testis and sometimes extending to the inguinal canal

[edit] Images

Patient #1

Patient #2

[edit] See Also

[edit] External Links

[edit] References for Hydrocele

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