Spermatic cord hydrocele
Updates to Article Attributes
Body
was changed:
A spermatic cord hydrocele refers to a loculated fluid collection along the spermatic cord. It is separated from, and located above, the testis and the epididymis.
Pathology
It results from aberrant closure of the processus vaginalis.
There are two recognised subtypes
- encysted hydrocele - fluid collection does not communicate with the peritoneum above or the tunica vaginalis below.
- funicular hydrocele - fluid collection communicates with the peritoneum at the internal inguinal ring but does not communicate with the tunica vaginalis
Radiographic features
Ultrasound
Usually seen as an oval anechoic mass in the groin along the spermatic cord, positioned above and separated from the testis and the epididymis. Typically well demarcated. Avascular on colour Doppler interrogation.
Treatment and prognosis
Elective surgery may be useful in preventing development of an acquired indirect hernia 3.
Differential diagnosis
It may occasionally be misdiagnosed as an inguinal hernia clinically 7.
As a very broad differential for masses in the inguinal region - refer to
See also
- hydrocele
- hydrocele of canal of Nuck: females
-</ul><h4>Radiographic features</h4><h5>Ultrasound</h5><p>Usually seen as an oval anechoic mass in the groin along the spermatic cord, positioned above and separated from the testis and the epididymis. Typically well demarcated. Avascular on colour Doppler interrogation</p><h4>Treatment and prognosis</h4><p>Elective surgery may be useful in preventing development of an acquired indirect hernia <sup>3</sup>.</p><h4>Differential diagnosis</h4><p>It may occasionally be misdiagnosed as an <a href="/articles/inguinal-hernia">inguinal hernia</a> clinically<sup> 7</sup>.</p><h4>See also</h4><ul>- +</ul><h4>Radiographic features</h4><h5>Ultrasound</h5><p>Usually seen as an oval anechoic mass in the groin along the spermatic cord, positioned above and separated from the testis and the epididymis. Typically well demarcated. Avascular on colour Doppler interrogation.</p><h4>Treatment and prognosis</h4><p>Elective surgery may be useful in preventing development of an acquired indirect hernia <sup>3</sup>.</p><h4>Differential diagnosis</h4><p>It may occasionally be misdiagnosed as an <a href="/articles/inguinal-hernia">inguinal hernia</a> clinically<sup> 7</sup>.</p><p>As a very broad differential for masses in the inguinal region - refer to </p><ul><li><a title="Mass of the inguinal region (differential)" href="/articles/mass-of-the-inguinal-region-differential">mass of the inguinal region (differential)</a></li></ul><h4>See also</h4><ul>
References changed:
- 9. Margarita V. Revzin, Devrim Ersahin, Gary M. Israel, Jonathan D. Kirsch, Mahan Mathur, Jamal Bokhari, Leslie M. Scoutt. US of the Inguinal Canal: Comprehensive Review of Pathologic Processes with CT and MR Imaging Correlation. (2016) RadioGraphics. 36 (7): 2028-2048. <a href="https://doi.org/10.1148/rg.2016150181">doi:10.1148/rg.2016150181</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/27715712">Pubmed</a> <span class="ref_v4"></span>
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