Revision 7 for 'Spermatic cord hydrocele'

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Spermatic cord hydrocele

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 recognized 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 color 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.

See also

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