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Surgery

A hydrocele is a fluid collection between the parietal and visceral layers of the tunica vaginalis of the testis, typically confined to the scrotum. It can be classified as congenital or acquired, with primary hydroceles being idiopathic and bilateral, while secondary hydroceles have an underlying cause and are often unilateral. Diagnostic features include swelling of the scrotum that is not reducible and cystic in nature, with potential complications if untreated, such as hernia, rupture, and testicular atrophy.

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0% found this document useful (0 votes)
8 views2 pages

Surgery

A hydrocele is a fluid collection between the parietal and visceral layers of the tunica vaginalis of the testis, typically confined to the scrotum. It can be classified as congenital or acquired, with primary hydroceles being idiopathic and bilateral, while secondary hydroceles have an underlying cause and are often unilateral. Diagnostic features include swelling of the scrotum that is not reducible and cystic in nature, with potential complications if untreated, such as hernia, rupture, and testicular atrophy.

Uploaded by

nehasurti2003
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 PDF, TXT or read online on Scribd
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Hydroceles

A hydrocele is a fluid collection between the parietal


of &
and visceral layers tunica vaginalis of testis

usually confined to scrotum


.

classification .
I

congenital Acquired
I
Direct communication ↓ ↓
with peritonical Primary secondary
cavity
. Gidopathic S
Inflamentory .

O acute

appendimorphic
② chronic
TB

③ Filariasis

Traumatic
Neoplastic

clinical difference &


* betw primary secondary .

Primary secondary
.

① Idiopathic ① underlying cause

② Bilateral ② unilateral
③ Test is not
palpable ③ Testis is palpable .
Intents ofHydrocele
* uid

·
amber colour Fluid
· contents -
water
6 % albumin
.
inorganic salts

on
long standing it
may have produce Cholesterol
· -

tyrosin
-

crystals
Fibrinogen
-

·
Fibrinogen imparts a
peculiar quality that the
fluid doesn't not clot on standing but forms clots
if 52 drops of blood complication
intreated >
- Hernia of hydrock sa

rupture >
- testicular atrophy

microfilaria
Hematocell
·
also contains .
pyocele

diagnostic Features -

Oswelling of scrotum

& ascends up
② not reducable
⑤ abres of visible &
palpable othing
④ cystic swelling
(swelling which contain fuid)

*
Variants
-

Ancestral Mydrock
O scrotum
showso
Bisac
Hydrocess
superficial
in -

Increased
⑤ hydrocek canal

secretion
in of and

atmentinaY
=

of underlying

reabsorption
E treatment cause

Decreased ① secondary
④ Primary - Jabolas
simple eversion of sac

eversion with

of
ligation

Blockage
lords

lymphatics
Direct communication with peritoneal cavity
.

* complications if left untreated


① Hernia of
hydrocele sac

② rupture -> testicular atrophy


③ Hematocele
① Pyocele

* Diagnostic Features
① swelling of scrotum & ascends up .

② Not reducible
③ cystic swelling
which contains Fluids
swelling .

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