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In congenital hydrocoele, the processus vaginalis is patent and connects with the peritoneal cavity. The communication is usually too small to allow herniation of intra-abdominal contents. Pressure on the hydrocoele does not always empty it but the hydrocoele fluid may drain into the peritoneal cavity when the child is lying down; thus, the hydrocoele may be intermittent. Ascites should be checked for if the swellings are bilateral
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owner: nerdparty67 - (no access) - McCaskie, A. W._ O'Connell, P. Ronan_ Williams, Norman S - Bailey & Love's Short practice of surgery (2018, CRC Press) -, p1524


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