Hydrocele: Congenital or acquired serous fluid contained within layers of tunica vaginalis
Communicating hydrocele: Patent processus vaginalis from internal inguinal ring to scrotum
Funicular hydrocele: Patent processus vaginalis at proximal end only near internal inguinal ring
Encysted hydrocele: Closed proximal and distal ends of processus vaginalis with patent, fluid-containing middle, forming cyst
Abdominoscrotal hydrocele: Communicating hydrocele with intraabdominal fluid collection
Canal of Nuck hydrocele: Hydrocele in females
IMAGING
General Features
Ultrasonographic Findings
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Srisajjakul S et al: Diagnostic clues, pitfalls, and imaging characteristics of '-celes' that arise in abdominal and pelvic structures. Abdom Radiol (NY). 45(11):3638-52, 2020
Chen F et al: The "falling snow" sign. Abdom Radiol (NY). 45(2):587-8, 2020
Thomas AK et al: Canal of Nuck abnormalities. J Ultrasound Med. 39(2):385-95, 2020
Loloi J et al: Scrotal hydrocele in acute pancreatitis. Urology. 132:e5-7, 2019
Zawaideh JP et al: Tension hydrocele as an additional cause of acute scrotum: case series and literature review. Abdom Radiol (NY). 45(7):2082-6, 2020
Gandhi J et al: Testicular compartment syndrome: an overview of pathophysiology, etiology, evaluation, and management. Transl Androl Urol. 5(6):927-34, 2016
Rafailidis V et al: Nonobliteration of the processus vaginalis: sonography of related abnormalities in children. J Ultrasound Med. 35(4):805-18, 2016
Otabil KB et al: Filarial hydrocele: a neglected condition of a neglected tropical disease. J Infect Dev Ctries. 9(5):456-62, 2015
Rafailidis V et al: Sonography of the scrotum: from appendages to scrotolithiasis. J Ultrasound Med. 34(3):507-18, 2015
Garriga V et al: US of the tunica vaginalis testis: anatomic relationships and pathologic conditions. Radiographics. 29(7):2017-32, 2009
Onol SY et al: A novel pull-through technique for the surgical management of idiopathic hydrocele. J Urol. 181(3):1201-5, 2009
Belman AB: Abdominoscrotal hydrocele in infancy: a review and presentation of the scrotal approach for correction. J Urol. 165(1):225-7, 2001
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
Hydrocele: Congenital or acquired serous fluid contained within layers of tunica vaginalis
Communicating hydrocele: Patent processus vaginalis from internal inguinal ring to scrotum
Funicular hydrocele: Patent processus vaginalis at proximal end only near internal inguinal ring
Encysted hydrocele: Closed proximal and distal ends of processus vaginalis with patent, fluid-containing middle, forming cyst
Abdominoscrotal hydrocele: Communicating hydrocele with intraabdominal fluid collection
Canal of Nuck hydrocele: Hydrocele in females
IMAGING
General Features
Ultrasonographic Findings
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Srisajjakul S et al: Diagnostic clues, pitfalls, and imaging characteristics of '-celes' that arise in abdominal and pelvic structures. Abdom Radiol (NY). 45(11):3638-52, 2020
Chen F et al: The "falling snow" sign. Abdom Radiol (NY). 45(2):587-8, 2020
Thomas AK et al: Canal of Nuck abnormalities. J Ultrasound Med. 39(2):385-95, 2020
Loloi J et al: Scrotal hydrocele in acute pancreatitis. Urology. 132:e5-7, 2019
Zawaideh JP et al: Tension hydrocele as an additional cause of acute scrotum: case series and literature review. Abdom Radiol (NY). 45(7):2082-6, 2020
Gandhi J et al: Testicular compartment syndrome: an overview of pathophysiology, etiology, evaluation, and management. Transl Androl Urol. 5(6):927-34, 2016
Rafailidis V et al: Nonobliteration of the processus vaginalis: sonography of related abnormalities in children. J Ultrasound Med. 35(4):805-18, 2016
Otabil KB et al: Filarial hydrocele: a neglected condition of a neglected tropical disease. J Infect Dev Ctries. 9(5):456-62, 2015
Rafailidis V et al: Sonography of the scrotum: from appendages to scrotolithiasis. J Ultrasound Med. 34(3):507-18, 2015
Garriga V et al: US of the tunica vaginalis testis: anatomic relationships and pathologic conditions. Radiographics. 29(7):2017-32, 2009
Onol SY et al: A novel pull-through technique for the surgical management of idiopathic hydrocele. J Urol. 181(3):1201-5, 2009
Belman AB: Abdominoscrotal hydrocele in infancy: a review and presentation of the scrotal approach for correction. J Urol. 165(1):225-7, 2001
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