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Congenital Hydocoele:: Primary Hydrocele

Congenital hydocoele is an abnormal collection of serous fluid in the processus vaginalis, usually the tunica, allowing peritoneal fluid to accumulate. There are two main types: communicating hydroceles caused by a patent processus vaginalis from birth, and non-communicating hydroceles that develop later in life. Diagnosis involves finding fluid that can be moved around by palpation or transilluminated, with an impalpable testis. Treatment depends on the type, with communicating hydroceles often resolving on their own and non-communicating hydroceles sometimes requiring surgery like Lord's operation.

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Roshandiep Gill
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170 views5 pages

Congenital Hydocoele:: Primary Hydrocele

Congenital hydocoele is an abnormal collection of serous fluid in the processus vaginalis, usually the tunica, allowing peritoneal fluid to accumulate. There are two main types: communicating hydroceles caused by a patent processus vaginalis from birth, and non-communicating hydroceles that develop later in life. Diagnosis involves finding fluid that can be moved around by palpation or transilluminated, with an impalpable testis. Treatment depends on the type, with communicating hydroceles often resolving on their own and non-communicating hydroceles sometimes requiring surgery like Lord's operation.

Uploaded by

Roshandiep Gill
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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congenital hydocoele:

• Abnormal collection of serous fluid in some part of the processus vaginalis usually tunica. /patent processus vaginalis aloow some
peritoneal fluid to trackdown to form a hydrocoele
• types: communcating hydrocoele(cogenital), non-communicating (adult life)
PRIMARY HYDROCELE
-Congenital *
- Vaginal
- Infantile
-funicular
-Hydrocele of the cord
-hydrocele canal of nuck

. SECONDARY HYDROCELE :-
• 1. Epididymorchitis
• 2. Torsion
• 3. Tumor
• 4. Post herniotomy

page 1503 bailey and love


Why is it Hydrocele ?
• Can get above the swelling
• Fluctuation present
• Transillumination present
• Testis not palpable
• Non reducible swelling
• Impulse on coughing absent

page 1504 bailey and love


congenital hydrocele:
-processus vaginalis is patent throughout communicating with
abdominal cavity and fluid accumulates in it but communication at
deep ring is too narrow to admit bowel or omentum
page

pg 209 short case


battacharya
investigation:
1. ultrasound -hydrocole encloses testis and epidydmis,impalpable

management:
1. majority will resolve , as processus continue to obliterate but
ligation division recommended in boys of 3 years of age.
2.congenital-herniotomy
3. Acquired-Lord's operation

page 1504 Bailey &Love


COMPLICATIONS ?
• Pyocele
• Hematocele
• Testicular atrophy
• Rupture
• Herniation of hydrocele sac
• Infertility

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