Lymphangiome kystique du cordon spermatique: à propos d’un cas

We here report the case of a 1-year old infant admitted to Hospital with left inguinoscrotal swelling evolving over the last 4 months, gradually increasing in volume and becoming painful. Clinical examination showed conscious, afebrile patient with stable hemodynamic and respiratory status but with left, soft, inguinoscrotal, transilluminable swelling painful to palpation. Inguinal doppler echocardiogram objectified 30 mm multiloculated mass. Abdominopelvic CT scan showed cystic lymphangioma: (A) shows the clinical image of the swelling; (B) shows the abdominopelvic CT scan image of a cystic lymphangioma; (C) shows the lymphangioma after exploration via the inguinal route which was in close contact with the spermatic cord and reaching the scrotum; resection of the cyst was performed after careful dissection, while preserving the noble elements; (D) shows patient’s outcome after 3 months. Anatomo-pathologic study confirmed the diagnosis of cystic lymphangioma. After 6-months’ follow-up contralateral swelling developed.