case_images: PMC5554997_01
case_images: Ultrasound examination. Sagittal image of the left scrotal mass demonstrating the difficulty to appreciate the full extent of the abnormality.
case_images: CRIU2017-8602584.001.jpg
case_images: PMC5554997_01_CRIU2017-8602584.001.jpg
case_images: fig1
case_images: However, extension of the left scrotal mass with the abdomen was not easily identified on ultrasound examination, as illustrated in Figure 1.
case_images: Diagnostic laparoscopy. Bulging cystic mass demonstrating a right abdominoscrotal hydrocele.
case_images: CRIU2017-8602584.002.jpg
case_images: PMC5554997_01_CRIU2017-8602584.002.jpg
case_images: fig2
case_images: Diagnostic laparoscopy revealed a massive right-sided cystic structure extending from the internal inguinal ring displacing the colon and extending up to the level of the umbilicus, consistent with ASH (Figure 2).
case_images: (a) Diagnostic laparoscopy. Left internal inguinal ring without palpation of the ipsilateral hemiscrotum. (b) Diagnostic laparoscopy. Left internal inguinal ring with palpation of the ipsilateral hemiscrotum.
case_images: CRIU2017-8602584.003.jpg
case_images: PMC5554997_01_CRIU2017-8602584.003.jpg
case_images: fig3
case_images: The left internal ring was closed and did not reveal an abdominal cystic mass (Figure 3(a)); however, with palpation of the scrotum on the left side, the hydrocele sac was seen to enlarge into the abdominal cavity (Figure 3(b)).