These causes could be the strong early labor uterine contractions during the late period of pregnancy or during labor or they might be due to the intrauterine fetal position, as what I observed in the obstetric history of the mother of the baby of this presentation, who was delivered by breech. In my case, the intra-abdominal part was about 12 cm. So it was excised extraperitoneally through the minilaparotomy incision at the right lower abdomen to give access to the abdomen and to the inguinal canal. The repair of the inguinal canal is important when it is dilated and distorted by a large communication between the intra-abdominal and scrotal compartments. In conclusion, the abdominoscrotal hydrocele in children is a rare condition but should be considered in the differential diagnosis of the cystic abdominal masses and in children with leg edema or upper urinary obstructive symptoms.
Surgery is the treatment of choice for removal of the cyst and reconstruction of the inguinal canal.
Maternal uterine factors could be the cause for the high scrotal pressure which leads to development of the abdominal component of the abdominoscrotal hydrocele. Dupuytren G. Lecons orales de clinique chirurgicale. Case presentation and review of literature. Firfer R, Berkson BM, Lipshitz S. Abdominoscrotal hydrocele in infant with hydronephrosis. Klin B, Efrati Y, Mor A, et al.