Malignant mesothelioma of testicular tunica vaginalis
Kazuhiro AbeNobuki KatoKenta MikiSatoshi NimuraMasafumi SuzukiHiroshi KiyotaSHYOICHI ONODERAYukihiko Oishi
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Abstract:
Abstract We report here a case with malignant mesothelioma of testicular tunica vaginalis. An 81‐year‐old Japanese man with left hydrocele was referred for operation. When hydrocelectomy was performed, a thick wall of tunica vaginalis without malignancy was observed. Seven months after hydrocelectomy, a hard irregular mass was noticed in the left scrotum, therefore inguinal orchiectomy was performed. Pathologically, the mass showed severe atypia and mitosis. The diagnosis of malignant mesothelioma was made. He refused any adjuvant treatment and died 1 year later from multiple metastases to the paraaortic lymph nodes and lumbar supine.Keywords:
Tunica vaginalis
Hydrocele
Tunica albuginea (penis)
Tunica vaginalis
Hydrocele
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To assess whether incision of the tunica vaginalis of the ipsilateral testis during the Palomo procedure affects the incidence of post-operative hydrocele.Forty-two patients with varicocele were treated between 1992 and 1996, all undergoing the Palomo procedure. In 15 patients, incision of the tunica vaginalis of the ipsilateral testis was performed with the Palomo procedure, to prevent the formation of hydrocele. All patients were followed at regular intervals, for 3 months to 4 years.Of 27 patients who underwent the Palomo procedure alone, four developed post-operative hydrocele requiring operation. None of those who underwent incision of the tunica vaginalis with the Palomo procedure developed a hydrocele. The duration of hospital stay was the same in both groups (mean 2.5 days). During the follow-up, there was no difference in the size of the testes, as assessed with the Prader orchidometer, between the two groups.Incision of the tunica vaginalis of the ipsilateral testis in addition to the Palomo procedure prevents the development of post-operative hydrocele and causes no adverse sequelae.
Hydrocele
Tunica vaginalis
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Inflammatory pseudo tumor of the tunica is rare and typically presents as long standing, painless scrotal mass. A 23-year-old man had palpable, multiple, hard scrotal masses for 3 months. Laboratory investigations were normal (including LDH, AFP, HCG). Radical inguinal orchiectomy done. Macroscopically the testis and epididymis were normal, with multiple gray nodules surrounding the testis and epididymis, attached to the tunica albuginea and vaginalis, had smooth surface, partly whorled cut surface. Histologically, the nodules were well circumscribed, consisting of fibrous tissue, with infiltration by plasma cells and mononuclear inflammatory cells, giving the diagnosis of plasma cell granulomas.
Tunica albuginea (penis)
Tunica vaginalis
Tunica
Infiltration (HVAC)
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AIM To improve the outcome and decrease the complication after the operation of the hydrocele of testis.METHODS 26 patients were treated with the modified method:placed the testis outside the tunica vaginalis with Listerism to destroyed the secretion function of the tunica vaginalis.RESULTS After 6 months to 3 years follow-up we have got a good results,there are no complications.CONCLUSION It's a simple and safe method to treat the hydrocele.
Tunica vaginalis
Hydrocele
Tunica
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Tunica vaginalis
Hydrocele
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Tunica vaginalis
Hydrocele
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A 17-year-old man presented with right hydrocele because of an athletic injury. His scrotum was hit with a ball 2 months ago while playing baseball. He was diagnosed with post-traumatic hydrocele and underwent needle puncture at another hospital 1 month after the trauma. However, the hydrocele did not improve. Therefore, he was referred to our hospital for surgical treatment. For diagnosis of the traumatic hydrocele testis, a hydrocelectomy was scheduled. When we opened the tunica vaginalis, we realized that the tunica albuginea had been ruptured and the testicular parenchyma had gushed out. We tried to replace all the escaped testicular parenchyma into the tunica albuginea, but it was impossible. Therefore were moved some of the redundant testicular parenchyma, and replaced the remnants into the tunica albuginea. After the operation, right hydrocele and testicular atrophy did not occur. Traumatic testicular rupture complicated with hydrocele is rare.
Hydrocele
Tunica vaginalis
Tunica albuginea (penis)
Testicular atrophy
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Tunica vaginalis
Hydrocele
Tunica media
Tunica
Tunica albuginea (penis)
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Objective:To explore the method of treating hydrocele of tunica vaginalis in infant.Method:The clinical data of 155 cases (from Oct.2003 to Dec.2009) with hydrocele of tunica vaginalis were treated by mini-incision was analyzed retrospectively.Among them,145 male,all were unilateral;10 female cases,9 were unilateral,1 were bilateral.Result:155 cases were cured without complication and 1 case recurrence occurred.Conclusion:Mini-incision in treating the hydrocele of tunica vaginalis has following advantages:low cost,convenience with minimal invasion,low recurrence rate.
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Hydrocele
Tunica
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Objective:To explore a new method of laparoscopy in treatment of indirect inguinal hernia and the hydrocele of tunica vaginalis in children.Methods:One hundred and eighty cases with indirect inguinal hernia and the hydrocele of tunica vaginalis were treated by laparoscopic surgery.Among them,150 cases had indirect inguinal hernia(right:80 cases,left:40 cases,bilateral:30 cases),20 cases had contralateral latent hernia in the unilateral hernias,and 30 cases(right:20 cases,left:10 cases)with the hydrocele of tunica vaginalis.All patients underwent internal orifice high ligation with laparoscopy,and the hydrocele of tunica vaginalis was drawn out.Results:The average operative time was 5-10min in unilateral hernia and 10-20min in bilateral hernia.The mean postoperative hospitalization was 36h.Skin sutures were not required.All patients were followed-up for 6-24months(mean 12 months),and no complications and recurrence occurred.Conclusions:Laparoscopic high ligation surgery and removal of the hydrocele of tunica vaginalis is a simple,satisfactory,effective,and minimally invasive surgical method.It causes no infection in the wound cut,scrotum and testis,no nerve damage,no pain and numb in lower abdomen.
Hydrocele
Tunica vaginalis
Ligature
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