Case history
Case history
A 12-month-old boy presents to his primary care physician with a right scrotal mass. The mass is smaller in the morning than in the evening and increases significantly in size during crying. It gets smaller again when he is lying down. He has no gastrointestinal or urinary symptoms. Physical examination demonstrates normal findings on the left side of the scrotum and a non-tender soft swelling on the right side. The mass is transilluminated when a light is shone on the scrotum, suggesting it is fluid-filled. The right testicle is palpable after gentle pressure reduces the swelling.
Other presentations
A hydrocele may present with scrotal pain in patients with accompanying acute epididymitis. In addition, irritability, vomiting, and abdominal distention may be the signs of an incarcerated hernia, especially in a baby with a communicating hydrocele. Rarely, hydroceles can occur in females along the canal of Nuck. Contralateral hydrocele may be present in neonates who have neonatal testicular torsion.[4]
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