Weerakkody Y, Elfeky M, Bell D, et al. Spermatic cord hydrocele. Reference article, Radiopaedia.org (Accessed on 29 Mar 2024) https://doi.org/10.53347/rID-25410
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.
funicular spermatic cord 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.
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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
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10. Sugianto K, Vijay Pramod S, Siregar S, Hernowo B. Encysted Spermatic Cord Hydroceles in 3-Year Old Boy, Case Report. Urology Case Reports. 2021;38:101652. doi:10.1016/j.eucr.2021.101652 - Pubmed