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Encysted hydrocele of spermatic cord: A rare case report with review of literature

INTRODUCTION: Funiculus hydrocele is an uncommon anomaly characterized by obstruction in the closure of the processus vaginalis. The two variations of funiculus hydrocele are the encysted variety that is not related to the peritoneal cavity and the funicular variety that is associated with the perit...

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Autores principales: Chairul, Andi Makkawaru, Palinrungi, Muhammad Asykar, Faruk, Muhammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10250793/
https://www.ncbi.nlm.nih.gov/pubmed/37269762
http://dx.doi.org/10.1016/j.ijscr.2023.108374
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author Chairul, Andi Makkawaru
Palinrungi, Muhammad Asykar
Faruk, Muhammad
author_facet Chairul, Andi Makkawaru
Palinrungi, Muhammad Asykar
Faruk, Muhammad
author_sort Chairul, Andi Makkawaru
collection PubMed
description INTRODUCTION: Funiculus hydrocele is an uncommon anomaly characterized by obstruction in the closure of the processus vaginalis. The two variations of funiculus hydrocele are the encysted variety that is not related to the peritoneal cavity and the funicular variety that is associated with the peritoneal cavity. We report the clinical investigation and management of a very rare case of encysted spermatic cord hydrocele in a 2-year-old boy. CASE PRESENTATION: A 2-year-old boy came to the hospital with the complaint of a lump in the scrotum for 1 year. The lump had exhibited growth and was not recurrent. The lump was painless, and the parent denied a history of testicular trauma. The vital signs were within normal limits. The left hemiscrotal was observed to be larger than the right. Palpation indicated an oval, soft, well-defined, and fluctuating impression, without tenderness, measuring 4 × 4 cm. The scrotal ultrasound showed a hypoechoic lesion measuring 2.8 × 2.4 × 4.5 cm. The patient underwent a scrotal-approach hydrocelectomy. The 1-month follow-up reported no recurrence. CLINICAL DISCUSSION: An encysted hydrocele is a non-communicating inguinal hydrocele, with a collection of fluid throughout the spermatic cord, which is separate and lies above the testes and epididymis. Diagnosis is clinically important, and if any uncertainty exists, scrotal ultrasound can be used to distinguish it from other scrotal lesions. The treatment for non-communicating inguinal hydrocele in this patient was surgery. CONCLUSION: Hydrocele is usually painless and rarely dangerous so it does not require immediate treatment. The treatment for hydrocele in this patient was surgery because it becomes larger.
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spelling pubmed-102507932023-06-10 Encysted hydrocele of spermatic cord: A rare case report with review of literature Chairul, Andi Makkawaru Palinrungi, Muhammad Asykar Faruk, Muhammad Int J Surg Case Rep Case Report INTRODUCTION: Funiculus hydrocele is an uncommon anomaly characterized by obstruction in the closure of the processus vaginalis. The two variations of funiculus hydrocele are the encysted variety that is not related to the peritoneal cavity and the funicular variety that is associated with the peritoneal cavity. We report the clinical investigation and management of a very rare case of encysted spermatic cord hydrocele in a 2-year-old boy. CASE PRESENTATION: A 2-year-old boy came to the hospital with the complaint of a lump in the scrotum for 1 year. The lump had exhibited growth and was not recurrent. The lump was painless, and the parent denied a history of testicular trauma. The vital signs were within normal limits. The left hemiscrotal was observed to be larger than the right. Palpation indicated an oval, soft, well-defined, and fluctuating impression, without tenderness, measuring 4 × 4 cm. The scrotal ultrasound showed a hypoechoic lesion measuring 2.8 × 2.4 × 4.5 cm. The patient underwent a scrotal-approach hydrocelectomy. The 1-month follow-up reported no recurrence. CLINICAL DISCUSSION: An encysted hydrocele is a non-communicating inguinal hydrocele, with a collection of fluid throughout the spermatic cord, which is separate and lies above the testes and epididymis. Diagnosis is clinically important, and if any uncertainty exists, scrotal ultrasound can be used to distinguish it from other scrotal lesions. The treatment for non-communicating inguinal hydrocele in this patient was surgery. CONCLUSION: Hydrocele is usually painless and rarely dangerous so it does not require immediate treatment. The treatment for hydrocele in this patient was surgery because it becomes larger. Elsevier 2023-06-01 /pmc/articles/PMC10250793/ /pubmed/37269762 http://dx.doi.org/10.1016/j.ijscr.2023.108374 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Chairul, Andi Makkawaru
Palinrungi, Muhammad Asykar
Faruk, Muhammad
Encysted hydrocele of spermatic cord: A rare case report with review of literature
title Encysted hydrocele of spermatic cord: A rare case report with review of literature
title_full Encysted hydrocele of spermatic cord: A rare case report with review of literature
title_fullStr Encysted hydrocele of spermatic cord: A rare case report with review of literature
title_full_unstemmed Encysted hydrocele of spermatic cord: A rare case report with review of literature
title_short Encysted hydrocele of spermatic cord: A rare case report with review of literature
title_sort encysted hydrocele of spermatic cord: a rare case report with review of literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10250793/
https://www.ncbi.nlm.nih.gov/pubmed/37269762
http://dx.doi.org/10.1016/j.ijscr.2023.108374
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