Résumé
A hydrocele is an accumulation of serous fluid in a body cavity. A hydrocele testis, the most common form of hydrocele, is the accumulation of fluids around a testicle. It is often caused by fluid collecting within a layer wrapped around the testicle, called the tunica vaginalis, which is derived from peritoneum. Provided there is no hernia present, it goes away without treatment in the first year. Although hydroceles usually develop in males, rare instances have been described in females in the Canal of Nuck. Primary hydroceles may develop in adulthood, particularly in the elderly and in hot countries, by slow accumulation of serous fluid. This is presumably caused by impaired reabsorption, which appears to be the explanation for most primary hydroceles, although the reason remains obscure. A hydrocele can also be the result of a plugged inguinal lymphatic system caused by repeated, chronic infection of Wuchereria bancrofti or Brugia malayi, two mosquito-borne parasites of Africa and Southeast Asia, respectively. As such, the condition would be a part of more diffuse sequelae commonly referred to as elephantiasis, which also affects the lymphatic system in other parts of the body. Among the complications of hydrocele are: Rupture usually occurs as a result of trauma but may be spontaneous. On rare occasions cure results after the fluid has been absorbed. Transformation into a haematocele occurs if there is spontaneous bleeding into the sac or as a result of trauma. Acute haemorrhage into the tunica vaginalis sometimes results from testicular trauma and it may be difficult without exploration to decide whether the testis has been ruptured. If the haematocele is not drained, a clotted haematocele usually results. The sac may calcify. Clotted hydrocele may result from a slow spontaneous ooze of blood into the tunica vaginalis. It is usually painless and by the time the patient seeks help, it may be difficult to be sure that the swelling is not due to a testicular tumour. Indeed, a tumour may present as a haematocele.
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Concepts associés (5)
Scrotum
Le scrotum est un sac de peau et de tissu fibromusculaire situé à la racine du pénis, présent chez la plupart des mammifères terrestres mâles. Constitué de plusieurs enveloppes, il soutient les testicules et les maintient à une température stable. Il appartient à l'appareil reproducteur masculin. Le terme scrotum peut aussi désigner uniquement la couche de peau des testicules. Le scrotum est un sac constitué de peau et de tissu fibromusculaire contenant les testicules et la partie inférieure des cordons spermatiques.
Hernie inguinale
Une hernie inguinale, est une protrusion pathologique d'une portion de péritoine contenant éventuellement des viscères abdominaux (il s'agit le plus souvent d'une partie de l'intestin grêle, parfois du gros intestin et, dans certains cas, de la vessie) par le canal inguinal (pour la hernie indirecte, qui est la plus fréquente) ou directement par une ouverture des muscles abdominaux (pour la hernie directe), au travers de la paroi abdominale. Elle peut être congénitale ou acquise, et se manifeste par une tuméfaction sous-cutanée de l’aine.
Spermatocele
Spermatocele is a fluid-filled cyst that develops in the epididymis. The fluid is usually a clear or milky white color and may contain sperm. Spermatoceles are typically filled with spermatozoa and they can vary in size from several millimeters to many centimeters. Small spermatoceles are relatively common, occurring in an estimated 30 percent of males. They are generally not painful. However, some people may experience discomfort such as a dull pain in the scrotum from larger spermatoceles.
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