Abdominoscrotal Hydrocele-Induced Cellulitis: A Case Report

Abstract

A hydrocele occurs when fluid is retained in a saclike cavity surrounding a testicle. Cirrhosis often causes ascites, which leads to an increase in intra-abdominal pressure due to excessive fluid. Here, we present the case of a 52-year-old alcohol-dependent patient with cirrhosis and a giant hydrocele communicating with intra-abdominal ascites. The patient presented with fever, scrotal pain, and erythema and computed tomography of the abdomen revealed communication between the peritoneum and scrotum. Cross-fluctuation between the scrotum and abdominal swelling and abdominoscrotal hydrocele (ASH) should be considered in patients with liver cirrhosis. In this unusual case, a patient with liver cirrhosis was noted to have massive ascites secondary to a large ASH, which caused cellulitis of the scrotum, in addition to bacteremia.