Encysted spermatic cord hydrocele - a case study

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Hydrocele of spermatic cord is caused by defect in closure of the Processus vaginalis as thetesticles descend into the scrotum during foetal development. Hydrocele of spermatic cord is usually occurs in infancy and childhood but in adult is rare. In adult it may mimics with irreducible inguinal hernia, undescended testes, primary tumours of cord like lipoma and inguinal lymphadenopathy. We are presenting a case of encysted hydrocele of spermatic cord visited to our opd, a 22 year old male patient having complaints of swelling over left inguinal region, which clinically mimicked incarcerated inguinal hernia. Keywords: Hydrocele, Processus vaginalis, lipoma, lymphadenopathy How to cite this URL: Dr. Mendhesnehdeep Vasant Et Al: Encysted Spermatic Cord Hydrocele - A Case Study. International Ayurvedic medical Journal {online} 2016 {cited 2016 July} Available from:http://www.iamj.in/posts/images/upload/3493_3494.pdf ENCYSTED SPERMATIC CORD HYDROCELE - A CASE STUDY Dr. Mendhe Snehdeep Vasant 1 Dr. Kedar Nita M 2 Dr. Raut Subhash Y 3 1 PG Scholar, 2 MS (Ayu). Professor. Nagpur, 3 MD (Ayu);HOD and Professor, Shalyatantra dept. Nagpur, Maharashtra, India INTRODUCTION Hydrocele is the collection of fluid inthe two layers of tunica vaginalis of testes on the basis of defect in closure of the processus vaginalis two types of hydrocele of spermatic cord is found. Encysted type is caused by defective closure at both proximal and distal ends of processus vaginalis. Funicular type is caused by defective closure of only distal ends of processus vaginalisproximallyitcommunicates with the peritoneal cavity The encysted type where processusvaginalis closure is proximally and distally, it can be confused with irreducible inguinal hernia, undescended testes, lipoma of the cord, inguinal lymphadenopathy and so proper diagnosis is more important for treatment Case Report A 22 yrs old male presented with swellingin the left inguinal region since one year which was progressively increased in size with no complaints. On examination a well define cystic swelling measured approximately 73 cm in length seen in middle of inguinal canal. On palpation which was non tender, tense, with no cough impulse and negative Trans illumination test. Differential diagnosis were donewithundescended testes, lipoma of the cord, inguinal lymphadenopathy but it mimics with irreducible inguinal hernia hence forconfirmation of diagnosis ultrasonography was done which suggested“Lobulated welldefined oblong cystic lesion of size 81.32 cm along left spermatic cord in inguinal region and in the root of Scrotumwith no septation and no calcification” andboth testes and epididymis were normal in size and echogenicity. But still diagnosis was not clear From ultrasonography, all routineinvestigation done and patient was posted for surgery. With all aseptic precaution and after adequate effect of spinal anaesthesia incision taken on left inguinal region and layer wise separation done. Intraoperatively a cystic Case Report International Ayurvedic Medical Journal ISSN:2320 5091 ABSTRACT Hydrocele of spermatic cord is caused by defect in closure of the Processus vaginalis as thetesticles descend into the scrotum during foetal development. Hydrocele of spermatic cord is usually occurs in infancy and childhood but in adult is rare. In adult it may mimics with irreducible inguinal hernia, undescended testes, primary tumours of cord like lipoma and inguinal lymphadenopathy. We are presenting a case of encysted hydrocele of spermatic cord visited to our opd, a 22 year old male patient having complaints of swelling over left inguinal region, which clinically mimicked incarcerated inguinal hernia. Keywords: Hydrocele, Processus vaginalis, lipoma, lymphadenopathy How to cite this URL: Dr. Mendhesnehdeep Vasant Et Al: Encysted Spermatic Cord Hydrocele - A Case Study. International Ayurvedic medical Journal {online} 2016 {cited 2016 July} Available from:http://www.iamj.in/posts/images/upload/3493_3494.pdf ENCYSTED SPERMATIC CORD HYDROCELE - A CASE STUDY Dr. Mendhe Snehdeep Vasant 1 Dr. Kedar Nita M 2 Dr. Raut Subhash Y 3 1 PG Scholar, 2 MS (Ayu). Professor. Nagpur, 3 MD (Ayu);HOD and Professor, Shalyatantra dept. Nagpur, Maharashtra, India INTRODUCTION Hydrocele is the collection of fluid inthe two layers of tunica vaginalis of testes on the basis of defect in closure of the processus vaginalis two types of hydrocele of spermatic cord is found. Encysted type is caused by defective closure at both proximal and distal ends of processus vaginalis. Funicular type is caused by defective closure of only distal ends of processus vaginalisproximallyitcommunicates with the peritoneal cavity The encysted type where processusvaginalis closure is proximally and distally, it can be confused with irreducible inguinal hernia, undescended testes, lipoma of the cord, inguinal lymphadenopathy and so proper diagnosis is more important for treatment Case Report A 22 yrs old male presented with swellingin the left inguinal region since one year which was progressively increased in size with no complaints. On examination a well define cystic swelling measured approximately 73 cm in length seen in middle of inguinal canal. On palpation which was non tender, tense, with no cough impulse and negative Trans illumination test. Differential diagnosis were donewithundescended testes, lipoma of the cord, inguinal lymphadenopathy but it mimics with irreducible inguinal hernia hence forconfirmation of diagnosis ultrasonography was done which suggested“Lobulated welldefined oblong cystic lesion of size 81.32 cm along left spermatic cord in inguinal region and in the root of Scrotumwith no septation and no calcification” andboth testes and epididymis were normal in size and echogenicity. But still diagnosis was not clear From ultrasonography, all routineinvestigation done and patient was posted for surgery. With all aseptic precaution and after adequate effect of spinal anaesthesia incision taken on left inguinal region and layer wise separation done. Intraoperatively a cystic Case Report International Ayurvedic Medical Journal ISSN:2320 5091 ABSTRACT Hydrocele of spermatic cord is caused by defect in closure of the Processus vaginalis as thetesticles descend into the scrotum during foetal development. Hydrocele of spermatic cord is usually occurs in infancy and childhood but in adult is rare. In adult it may mimics with irreducible inguinal hernia, undescended testes, primary tumours of cord like lipoma and inguinal lymphadenopathy. We are presenting a case of encysted hydrocele of spermatic cord visited to our opd, a 22 year old male patient having complaints of swelling over left inguinal region, which clinically mimicked incarcerated inguinal hernia. Keywords: Hydrocele, Processus vaginalis, lipoma, lymphadenopathy How to cite this URL