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 with five children and has regular coitus. General examination revealed nothing significant. The abdomen was essentially normal with intact hernial orifices. The external genitalia revealed a near buried phallus and a bilateral cystic scrotal swelling up to knee level. The testis could not be felt. The cord contents felt normal
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