Prenatally diagnosed unilateral undescended testicle and hydrocele case

Hydrocele is a fluid collection reaching from abdomen to scrotum. Even it is rare, hydrocele may accompany with undescended testicle cases. Our aim was to present prenatally diagnosed unilateral undescended testicle case with concomitant bilateral hydrocele. The case was 32 years old, on her 37 weeks of gestation and G 4, P 3, A 3 who did not have her antenatal follow-up regularly. In the obstetric US, 37 weeks old live single fetus with placenta on anterior and sufficient amnion fluid. In the US, bilateral hydrocele and unilateral undescended testicle were found in the scrotum. No other anomaly was observed in the fetus. The baby who was born as 3100 g and with 8-10 APGAR score by spontaneous vaginal delivery was followed up and treated by consulting with pediatrics surgery. In the fetal ultrasonographic examination, genital anomalies found when examining the fetal genital organs may be helpful in the differential diagnosis of some syndromes. The diagnosis of the pathologies of male fetal genital organs in particular may be established more easily compared to the female fetuses. Undescended testicle in newborn is defined as an abnormal finding. The presence of isolated hydrocele is mostly a benign condition; however, the association of these two pathologies is very rare. In conclusion, testicles should be seen bilaterally in fetal scrotum in the last weeks of gestation. Absence of either one or two testicles, being in abnormal sizes or the detection of hydrocele presence is very critical. It should be remembered that the early diagnosis of undescended testicle cases in particular is very important in terms of malignity and fertility potential in further periods.

Keywords

Prenatal diagnosis, undescended testicle, hydrocele.