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Open Processus Vaginalis

Five months after starting continuous ambulatory peritoneal dialysis (CAPD), a communicating hydrocele developed with massive edema of the scrotum and of the penis. Peritoneal injection of radioactive technetium (Tc99m) demonstrated a tract suggesting an open processus vaginalis. It is assumed that the rise in intraabdominal pressure during the CAPD procedure led to a reopening of this processus vaginalis. Therapy consisted in its ligation.