Hydrocele

1. CASE DETAILS
• Mr.Abbas
• 36 M
• Shop keeper
• Solavanthan ,Madurai
• Chief c/o:
• Swelling in Lt side of Scrotum
- 5yrs

2. H/O PRESENTING ILLNESS:
• H/O swelling in Lt side of scrotum- 5yrs,insidious
gradually increasing , not reducible on lying down
• No h/o pain
• H/o difficulty in walking due to swelling
• No H/o fever / trauma.
• No H/o chronic cough with expectoration
• No H/o evening rise of temperature
• No H/o exposure to STD
• No H/o Loss of weight/appetite
• No H/o any other swelling in body

3. PAST H/O:
• No H/o similar illness in the past
• No H/o DM/HT/IHD/TB/Asthma/Epilepsy
• H/o surgery done for Rt Inguinal Hernia 18 yrs
back at Dindigul PHC
FAMILY H/O:
• No H/o similar illness in family
• No H/o contact with TB
PERSONAL H/O:
• mixed diet
• No H/o smoking / alcholism
• Married, having 2 children

4. GENERAL EXAMINATION:
• Conscious ,Oriented,Afebrile
• Well built & nourished
• No pallor/icterus/cyanosis/clubbing/generalised
lymphadenopathy
• PR-86/min,Regular, Normal volume
BP-130/70 mm Hg
CVS: S1S2,No murmur
RS: NVBS +, No added sounds
ABDOMEN:soft ,non tender ,no organomegaly

5. LOCAL EXAMINATION
EXAMINATION OF SCROTAL REGION:
INSPECTION: (standing posture)
• A globular swelling of size 15x10 is seen in left side
of scrotum, testis not separately seen.
• SKIN OVER THE SWELLING : Normal , no scars
/sinuses/dilated veins
• No impulse on coughing
• No signs of inflammation
• PENIS: partially buried in
scrotum

6. Local examination..
• Not Warm , Not tender
• Well defined, soft cystic
• Surface:Rugosities absent
• GET ABOVE THE SWELLING +
• FLUCTUATION TEST +
• TRANSILLUMINATION TEST: +VE
• SKIN OVER THE SWELLING PINCHABLE
• No impulse on coughing
• Not reducible
• TESTIS- cannot be felt separately
• RIGHT TESTIS- palpable
• SPERMATIC CORD – Normal
PER RECTAL EXAMINATION : To be done

7. DIAGNOSIS
A case of left sided PRIMARY VAGINAL
HYDROCOELE without complications