• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / LAPAROSCOPIC MANAGEMENT OF HYDROCELE-EN-BISSAC – A RARE CASE REPORT AND REVIEW OF LITERATURE

LAPAROSCOPIC MANAGEMENT OF HYDROCELE-EN-BISSAC – A RARE CASE REPORT AND REVIEW OF LITERATURE

Jitendra T Sankpal, MBBS, MS, FMAS, FIAGS1, Pradip S Kasabe, MBBS, MS, FMAS, FIAGS2, Priyadarshini M Deodurg, MBBS, MS3, Mukund B Tayade, MBBS, MS1, Khushboo N Kadakia, MBBS1, Sweety S Agarwal, MBBS, DNBE1, Sushrut Sankpal, MBBS4, Priyanka Saha, MBBS1, Atish K Parikh, MBBS1, Rukmini Waghmare, MBBS1. 1Grant Government Medical College And Sir JJ Group Of Hospitals, 2Dr Vaishampayan Memorial Government Medical College Solapur Maharashtra India, 3Gulbarga Institute Of Medical College Kalaburagi, 4Rajiv Gandhi Medical College Thane Maharashtra India

INTRODUCTION: Hydrocele-en-bissac, also called abdomino-scrotal hydrocele, is an extremely rare clinical entity. Until now only 94 cases in adults and fewer than 20 cases in children have been reported in world literature, with surgical management being the only option. An innovative, minimally invasive laparoscopic excision of the abdominal sac was performed and the scrotal component was managed by Jaboulay's Procedure. This is probably the first case report in world literature describing laparoscopic management of hydrocele-en-bissac.

CASE REPORT: A 50 year old male presented with complaints of bilateral hydrocele and swelling in right lower abdomen since one year. Computed tomography of the abdomen revealed an encysted hypodense lesion with enhancing walls along the right side of pelvis, anterior to the psoas muscle and extending through the internal ring into the right inguinal region upto the scrotal sac; measuring 14.1cm x 3.6cm suggestive of an encysted hydrocele of cord associated with hydrocele of both scrotal sacs. 

On diagnostic laparoscopy, an intra-abdominal cystic swelling separate from the bowel was found in relation to the cord extending into the right inguinal canal suggestive of hydrocele-en-bissac. Peritoneal sac was dissected and distal end of the abdominal sac was ligated with polyglactin suture. The sac was then excised and delivered out through one of the ports. Jaboulay's procedure of eversion of sac was done for the scrotal component of the hydrocele-en-bissac on the right and hydrocele on the left side. Histopathology report was consistent with encysted hydrocele of cord.

DISCUSSION: Hydrocele-en-bissac was first described by Dupuytren in 1834. Jacobson classified it as an infantile hydrocele with intra-abdominal extension. Some theories postulate that hydrocele-en-bissac occurs as a result of increased intaluminal pressure confined to a proximally closed processus vaginalis; this increased pressure allows extension into the retroperitoneal space through the internal ring causing both abdominal and scrotal swellings.

CONCLUSION: In the era of minimally invasive surgery, the benefit of laparoscopy was offered to the patient for excision of the abdominal component of hydrocele-en-bissac with better cosmetic outcome. Laparoscopic approach offers a safe and effective treatment modality with early recovery to this rare clinical entity.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 86962

Program Number: P726

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

74

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals