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Giant Hydrocele: Scrotum 4times the size of patient's head

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Hydrocele which means "water sac" is abnormal fluid collection within the tunica vaginalis of the scrotum or a patent tunica vaginalis. It is a relatively common condition in surgical practice. However, a giant hydrocele, here defined for clinical purposes, as a hydrocele equal to or bigger than the patient's head, is rare as indicated by the limited number of reported cases in the literature. Ultrasound is the first modality usually used to evaluate hydrocele, which presents as a simple fluid collection. It is avascular on Doppler evaluation. It may contain septations, calcifications or cholesterol. In a research article published online ncbi reports giant hydrocele in specific patients. A 50-year-old man who presented with bilateral scrotal swellings for 10 years. No history of chronic cough, leg swelling or trauma to the scrotum. He is married wit...