TY  - CHAP
M1  - Book, Section
TI  - Hydrocele
A1  - Moore, Sarah
A1  - Pedigo, Ryan
A2  - Knoop, Kevin J.
A2  - Stack, Lawrence B.
A2  - Storrow, Alan B.
A2  - Thurman, R. Jason
PY  - 2021
T2  - The Atlas of Emergency Medicine, 5e
AB  - Most  hydroceles  occur  in  older  patients  and  develop  gradually  without  significant  symptoms.  Hydrocele  presents  as  a  soft,  pear-shaped,  fluid-filled  cystic  mass  anterior  to  the  testicle  and  epididymis  that  will  transilluminate.  However,  it  can  be  tense  and  firm  and  will  transilluminate  poorly  if  the  tunica  vaginalis  is  thickened.  Almost  all  hydroceles  in  children  are  communicating,  resulting  from  the  same  mechanism  that  causes  inguinal  hernia.  A  persistent,  narrow  processus  vaginalis  acts  like  a  one-way  valve,  thus  permitting  the  accumulation  of  dependent  peritoneal  fluid  in  the  scrotum.  Acute  symptomatic  hydroceles  are  rarer  and  can  occur  in  association  with  epididymitis,  trauma,  or  tumor.  
SN  - 
PB  - McGraw-Hill
CY  - New York, NY
Y2  - 2024/04/20
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1181041194
ER  -