Spermatic cord hydrocele

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Spermatic cord hydrocele (SCH) refers to loculated fluid collection along the spermatic cord. It separated from and located above the testicle and the epididymis.

Pathology

It results from aberrant closure of the processus vaginalis.

There are two recognised sub types

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 clinically⁷.

-<p><strong>Spermatic cord hydrocele (SCH)</strong> refers to loculated fluid collection along the <a href="/articles/spermatic-cord">spermatic cord</a>. It separated from and located above the testicle and the epididymis. </p><h4>Pathology</h4><p>It results from aberrant closure of the processus vaginalis.</p><p>There are two recognised sub types</p><ul>
~~-<li>encysted hydrocele - fluid collection does not communicate with the peritoneum above or the tunica vaginalis below. </li>~~
+<p><strong>Spermatic cord hydrocele (SCH)</strong> refers to loculated fluid collection along the <a href="/articles/spermatic-cord">spermatic cord</a>. It separated from and located above the testicle and the epididymis. </p><h4>Pathology</h4><p>It results from aberrant closure of the processus vaginalis.</p><p>There are two recognised sub types</p><ul>
+<li>encysted hydrocele - fluid collection does not communicate with the peritoneum above or the tunica vaginalis below. </li>
-</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</h4><p>Elective surgery may be useful in preventing development of an acquired indirect hernia <sup>3</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 inguinal hernia clinically<sup> 7</sup>.</p><h4>See also</h4><ul>
~~-<li><a href="/articles/hydrocoele-of-the-canal-of-nuck">hydrocele of canal of Nuck</a></li>~~
+<li>
+<a href="/articles/hydrocoele-of-the-canal-of-nuck">hydrocele of canal of Nuck</a>: females</li>

References changed:

6. Wani I, Rather M, Naikoo G et-al. Encysted hydrocele of cord in an adult misdiagnosed as irreducible hernia: a case report. Oman Med J. 2012;24 (3): 218-9. <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3251174">Free text at pubmed</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/22224189">Pubmed citation</a><span class="auto"></span>
7. D M, M KT, Khan DM. Encysted Spermatic Cord Hydrocele in a 60-year-old, Mimicking Incarcerated Inguinal Hernia: A Case Report. J Clin Diagn Res. 2014;8 (2): 153-4. <a href="http://dx.doi.org/10.7860/JCDR/2014/6998.4039">doi:10.7860/JCDR/2014/6998.4039</a> - <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3972541">Free text at pubmed</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/24701514">Pubmed citation</a><span class="auto"></span>

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