Synonyms
Definition
Accumulation of serous fluid between the visceral and parietal layers of the tunica vaginalis (Goldblum et al. 2017).
Clinical Features
Incidence
Fairly common: Together with spermatocele, it affects about 1% of adult male individuals.
Age and sex
Males of any age. Congenital hydroceles result from persistent communication between the tunica vaginalis and the peritoneal cavity. This communication is naturally obliterated usually before the age of 2 years.
Site and presentation
Hydrocele presents as painless scrotal swelling and a feeling of heaviness.
Treatment
In most cases, it disappears on its own. If it does not, surgery may be required.
Outcome
This condition has a benign progress; however, patients need a follow up because hydrocele might recur. Most cases are related to infections and form over time; however, in case of rapid formation of Hydrocele, a neoplasia should be excluded.
Macroscopy
Inflated scrotum with serous fluid. In rare...
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References and Further Reading
Chekol, S. S., & Sun, C.-C. (2012). Malignant mesothelioma of the tunica vaginalis testis: Diagnostic studies and differential diagnosis. Archives of Pathology & Laboratory Medicine, 136, 113–117.
Goldblum, J., Lamps, L., McKenney, J., & Myers J. (2017). Rosai and Ackerman’s surgical pathology (11 ed.). Philadelphia: Elsevier.
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Fattorini, C., Lopez-Beltran, A., Raspollini, M.R. (2019). Hydrocele Testis. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_4826-1
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DOI: https://doi.org/10.1007/978-3-319-28845-1_4826-1
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