case_images: PMC5822865_01
case_images: The scrotum was red and swollen.
case_images: CRIM2018-2862514.001.jpg
case_images: PMC5822865_01_CRIM2018-2862514.001.jpg
case_images: fig1
case_images: He was in grumpy mood, his right scrotum was red and swollen, and the cremasteric reflux was absent (Figure 1).
case_images: (a) Both testes were normal sized with normal blood flow. (b) The hydrocele wall was as thick as 3-5 mm (scale bar = 1 cm). (c) The omentum is inserted into the right inguinal canal. The blood flow was detected.
case_images: CRIM2018-2862514.002.jpg
case_images: PMC5822865_01_CRIM2018-2862514.002.jpg
case_images: fig2
case_images: The US showed normal testes and epididymis with normal blood flow by the color Doppler US (Figure 2(a)). On the cranial of the right testis, low-echoic hydrocele with multiseptum was present, and its capsulizing wall was as thick as 3-5 mm (Figure 2(b)). In the right inguinal canal, omentum was present in the patient's processus vaginalis with blood flow by the color Doppler US (Figure 2(c)).
case_images: (a) The stroma was thick and edematous with fibrin precipitation and lymphatic cell infiltration. (b) Pediatric noncommunicating hydrocele aged at 1 year as a control. The tissue was not as edematous as in our case, and less lymphatic cells were infiltrated (scale bar = 100 microm).
case_images: CRIM2018-2862514.003.jpg
case_images: PMC5822865_01_CRIM2018-2862514.003.jpg
case_images: fig3
case_images: Pathology of the hydrocele wall showed edema in the wall, fibrin precipitation, and lymphocyte infiltration (Figure 3(a)), indicating that severe inflammation caused scrotal pain and redness.