RT Book, Section
A1 Moore, Sarah
A1 Pedigo, Ryan
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181041194
T1 Hydrocele
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessmedicine.mhmedical.com/content.aspx?aid=1181041194
RD 2024/04/25
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.