Abstract
A 1-month-old boy has been visiting our hospital because of his swollen right scrotum since neonatal period. He was first diagnosed as having bilateral abdominoscrotal hydrocele (ASH) at age 7 months by ultrasonography. MRI revealed bilateral giant dumbbell-like hydroceles, respectively measuring 18 cm and 10 cm at the right and left sides, which eventually developed into hydronephrosis and hydroureter at age 14 months. At 15 months old, he underwent operation through an inguinal approach. Although hydroceles were extended into the abdominal cavity, there was neither any route between the hydrocele and abdominal cavity nor patent processus vaginalis on both sides. The right testis was distorted to a spindle shape. All walls of the hydrocele, except spermatic vessels and spermatic cord area, were excised, and the procedure was completed with orchiopexy. In the case of giant ASH, operation is recommended at the early stage, because it may cause timerelated complications such as hydronephrosis, hydroureter and inflicting testicular damage by compression.
