DOI QR코드

DOI QR Code

A Case Study of Contralateral Occurrence after Unilateral Repair of Hydrocele in Children

소아의 일측 음낭수종 교정술 후 반대측 발생의 치험 1례

  • Kim, Eun Jin (Department of Pediatrics, College of Oriental Medicine, Dongguk University) ;
  • Min, Sang Yeon (Department of Pediatrics, College of Oriental Medicine, Dongguk University) ;
  • Kim, Jang Hyun (Department of Pediatrics, College of Oriental Medicine, Dongguk University)
  • 김은진 (동국대학교 한의과대학 소아과학교실) ;
  • 민상연 (동국대학교 한의과대학 소아과학교실) ;
  • 김장현 (동국대학교 한의과대학 소아과학교실)
  • Received : 2015.01.23
  • Accepted : 2015.02.09
  • Published : 2015.02.28

Abstract

Objectives Hydrocele is a common disease found in pediatrics and is usually treated by hydrocelectomy, and even after the unilateral repair of hydrocele, it has been reported that the contralateral hydrocele still occurs in 5.4-12.5%. Therefore, the purpose of this study is to conduct a case study of contralateral hydrocele treated by Oryeong-san and Bangkeehwangkee-tang (五苓散 合 防己黃芪湯). Methods A patient diagnosed with San Syndrome (Su-San) (水疝) was administered Oryeong-san and Bangkeehwangkee-tang (五苓散 合 防己黃芪湯). Results The sizes of hydrocele and symptoms were reduced. Conclusions In the case of contralateral occurrence after unilateral repair of hydrocele in children, it is better to select a safer treatment than operation considering other possible complications. In this report, we have proven that Oryeong-san and Bangkeehwangkee-tang (五苓散 合 防己黃芪湯) can be very effective in reducing the size of hydrocele, improving symptoms and preventing recurrence.

References

  1. Kim KB, Kim DG, Kim YH, Kim JH, Min SY, Park EJ, Beak JH, Yoo SE, Lee SY, Lee JY, Lee HJ, Jang GT, Chae JW, Han YJ, Han JK. Hanbangsoeacheongsoenyeoneuihak. Seoul: Euisungdang. 2010:715.
  2. Kim SR, Park HJ, Moon JS, Lee CG. A clinicostastical analysis of genitourinary diseases from the nationwide hospital discharge survey. J Korean Soc Pediatr Nephrol. 2009;13(1):63-74. https://doi.org/10.3339/jkspn.2009.13.1.63
  3. Dandapat MC, Padhi NC, Patre AP. Effect of hydrocele on testis and spermatogenesis. Br J Surg. 1990;77:1293-4. https://doi.org/10.1002/bjs.1800771132
  4. Kalantari M, Shirgir S, Ahmadi J, Zanjani A, Soltani AE. Inguinal hernia and occurrence on the other side: a prospective analysis in Iran. Hernia. 2009;13:14.
  5. Shere LR, Grosfeld JL. Inguinal hernia and umbilical anomalities. Ped Clin North Am. 1993;40:1121-31. https://doi.org/10.1016/S0031-3955(16)38652-7
  6. Lee YT, Oh SS, Kang KH. Study on the concept of San Syndrome(after Chung Dynasty). Korean J Oriental Physiol Pathol. 2006;20(4):814-24.
  7. Yang MR, Na WG, Park EJ, Lee JY. A case report of hydrocele. J Pediatr Korean Med. 2002;16(1):171-80.
  8. Kim MG, Choi JR, Bea HS, Park SS. A case study of hydrocele. J Sasang Const Med. 2003;15(1):123-8.
  9. Jung YS, Han CH. Iiguinal hernias and hydroceles in children. Korean J Pediatr Urol. 2011;3(1):18-22.
  10. Haynes JH. Inguinal and scrotal disorders. Surg Clin North Am. 2006;86:371-81. https://doi.org/10.1016/j.suc.2005.12.005
  11. James PM. The problems of hernia in infants and adolescent. Surg Clin N Am. 1971;51:1361-70. https://doi.org/10.1016/S0039-6109(16)39591-3
  12. Heo J. Deayeokdongeuibogam. Dongeuibogamchulpansa. 2005:818, 828, 834.
  13. Na JP. Haneodasajun. Sanghai: Haneodasajunchulpansa. 1994:284.
  14. Jang JH. Youmunssachin: Heumjungsagojeonsoe 13. Deasungmonhwasa. 1995:147.
  15. Hong WS. JunggyohwangjeneaKyung. Dongyangeuihakyoenguwon. 1981:113, 121, 233, 239.
  16. So WB. Jebyeongwonhuron. Heumjungsagojeonsoe 2. Deasungmonhwasa. 1995:697.
  17. Joo DK. Kyeokchiyeoron. Deasungmonhwasa. 1995:661.
  18. Bang YJ. Silyongjongeuinaewahak. Sanghai: Sanghaikwahakgisulchulpansa. 1988:426.
  19. Epstein A, Novicki DE. Management of hydroceles. AUA update series VII Lesson. 1988;19:145-9.
  20. Swartz MA, Morgan TM, Krieger JN. Complications of scrotal surgery for benign conditions. Urology. 2007; 69:616-9. https://doi.org/10.1016/j.urology.2007.01.004
  21. Mc-Gregor DB, Haverson K. The unilateral pediatic inguinal hernia: should the contralateral side be explored?. J Pediatric Surg. 1980;24:963-4.
  22. Han YJ, Nam SH, Kim DY, Kim SC, Kim IK. Contralateral incidence of pediatric inguinal hernia and hydrocele after unilateral operation. J Korean Assoc Pediatr Surg. 2008;14(1):48-57.
  23. Deahaneuihakhui. Sanghanronso. Euisungdang. 2008: 118
  24. Jungukhaneuigwadahak Gongdonggyojepyoenchanwiwonhui. Bangjehak. Yonglimsa. 2008:504-5.
  25. Bang JK. A study on syndtomes of Oryeonsan. J Korean Med Classics. 2007;20(1):151-64.
  26. Jung EH, Yoo JE, Cho KHi, Yoo DY. Four cases report of the female lower urinary tract infection with Oryeong-san. J Orient Obstetrics Gynecol. 2012;25(4): 134-43.
  27. Lee SB, Keum DH, Lee MJ. Effects of Oryeong-san on body weight and serum lipid levels in high fat diet induced obese mice. J Orient Rehabil Med. 1997;7(2): 189-200.
  28. Silsuidomang. Hanbangchiryobeakgwa. Dongnamchulpansa. 1984:37-9, 411-27.
  29. Deahaneuihakhui. Geumgwaeyorakso. Euisungdang. 2009:55.
  30. Sanghaijongeuihakwon. Bangjehak. Sanghaiyinseogwan. 1981:101.
  31. Song YS. Effects of Bangkihwangkitang, Bangkihwangkitang with Lycii fructus on the weight of obese rats. J Won Kwang Orient Med. 1992;2(1):102-20.
  32. Gwangjoojongeuihakwon. Bangjehak. Bukjyungyinminwisangchulpansa. 1983:147.