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American Journal of Roentgenology, Vol 169, 527-529, Copyright © 1997 by American Roentgen Ray Society

ARTICLES

Cholesterol crystals in hydroceles: sonographic detection and possible significance

GA Gooding, WC Leonhardt, G Marshall, MA Seltzer and JC Presti Jr
Department of Radiology, University of California, San Francisco 94121, USA.

OBJECTIVE: The aim of this study of seven patients who had elective surgical repairs of a hydrocele was to try to differentiate by microscopy and chemical analysis hyperechoic hydrocele fluid from the more typical anechoic hydrocele fluid. CONCLUSION: Hyperechoic hydrocele fluid is related to the presence of cholesterol crystals. Cholesterol crystals were noted on microscopic examination in all three patients with hyperechoic hydrocele fluid. No cholesterol crystals were evident in the four patients with typical anechoic hydrocele fluid.
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