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Congenital Hydrocele

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Congenital Hydrocele

Presented by: Dr. (Prof.) Geeta Jain Dr. Godawari joshi

Dr. Jyoti Kiran HOD Dept. of Obstetrics & Gynaecology Associate Professor
PG - JR 3 Dr. STM Govt. Hospital, Haldwani

INTRODUCTION

A hydrocele is a build up watery clear fluid around one or both testicles. When the hydrocele present in birth , it is referred to as a congenital
hydrocele. In most cases, congenital hydrocele occurs in newborn male babies. Testicles normally develop in the abdomen and descend from the
location to their normal position in the scortum. As the testicles descend, a lining of the abdomen, called process vaginalis ,also move with them. This
channel usually closes around birth in most of the cases. But, if it does not, then a small amount of fluid can go from the abdomen to the scortum
through this passage, causes hydrocele. Congenital hydrocele is a condition that is observed at birth. There are few risk factors associated with it i.e
breech presentation, premature or low birth weight baby and gestational progestin use.
Newborn presents with swelling of the scortum and groin.

CASE REPORT

A 26 year old female, G2P1L1 with 38wk2day gestation , referred


from JLN Hospital Rudrapur to Dr. Sushila Tiwari Hospital, Haldwani
and diagnosed as a case of G2P1L1 38wk2day period of gestation
with breech presentation in second stage of labour. Trimesteric
histrory was uneventful. No history of any infertility treatment.
She delivered vaginally of an alive full term male baby of 2.8 kg by
breech with aid of episiotomy. Newborn examination was done by
pediatrician on duty –
Red, swollen scortum was present. Transillumination test was
positive.
Diagnosis was made – Congenital Hydrocele.

ON FOLLOW UP DISCUSSION

Newborn shifted to NICU for observation. Usg was done – it appear as an


Management is directed mainly on it own within the first two year of
anechoic or echolucent area surrounding the testis. It should be
the child life. If swelling is still present at age of two ,or there is a
examined in both supine and upright position as hydrocele has a
fluctuation in size of the swelling , or it painfull , then surgery is
tendancy to reduce into the abdomen based on the position of the paitent.
required. Fluid needle aspiration may also be used to drain the fluid.
Fluid needle aspiration was done by surgeon. Fluid was serosanguinous
Cold sponging done, it resolved spontaneously on follow up.

CONCLUSION

Congenital hydrocele occurs at the time of birth , and presently there are no measure to prevent it occurrence. In most cases, congenital
hydrocele get resolved by the age of two years.
The condition has a very good prognosis with no long term complication being observed.

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