The occurrence of hydrocele of the tunica vaginalis testis in which the major portion of the sac extends upward into the abdomen is of sufficient rarity to warrant a published report. I can find no mention of a similar condition in the American literature. A case was reported by Richards1 in 1908 in an Egyptian. He lists a small bibliography which cites thirty-one other cases. Coleman2 describes a case, also in an Egyptian, notable for the huge size of the sac: the fluid contents measured 27 pints. Bickle3 of Australia, in citing a case, suggests the term abdominoscrotal as being more accurately descriptive than the more usual term bilocular hydrocele.
My patient, an American, aged 26, had noticed the presence of a right scrotal "hernia" for about five years but had never felt it necessary to do anything about it. He had never been sick and worked
Herrmann SF. ABDOMINOSCROTAL HYDROCELE. JAMA. 1932;98(5):399–400. doi:10.1001/jama.1932.27320310002009b
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