Epididymal Cystic Lymphangioma Presenting as Scrotal Swelling in a Post Surgery Case of Carcinoma Rectum- A Case Report

Abstract

A 24-year-old male presented to the institute in GI Oncosurgery Department as a diagnosed case of metastatic adenocarcinoma of rectum. The cross sectional imaging done in the radiology department also showed evidence of polypoidal infiltrative rectal mass with perirectal, bilateral iliac and paraaortic lymphadenopathy and bony lesions [Table/ Fig-1]. Patient underwent abdominoperineal resection with abdominal lymph node dissection after receiving neoadjuvant chemotherapy and radiotherapy. Thereafter, patient received multiple cycles of FOLFOX-4 based chemotherapy and was on regular follow up for one and a half years, when he presented with complain of painless right scrotal swelling. USG examination revealed multicystic septated lesion involving head and body of right epididymis measuring 3.0 x 1.6 x 3.6 cm. On colour Doppler imaging there was no internal vascularity b]. Mild ipsilateral hydrocele was also present. Bilateral testis were unremarkable. Imaging differentials of cystic lymphangioma, loculated hydrocele, epididymal cysts and spermatocele were considered and patient