Hernia with spermatocele, cord and testis inside sac: Case report

Abstract

HighlightsExtremely rare.First Kind of case series in Literature.Giant Spermatocele extremely Rare.Cord and testis inside hernia sac never reported.

A Post-Aspiration Giant Spermatocele in a Young Man: A Case Report and Literature Review

“…A search of the PubMed database for articles in English on this subject matter could yield 9 cases of giant spermatoceles. 3 - 11 A giant spermatocele is usually single and unilocular, just like the one in the present case report. However, bilateral 5 , 10 multilocular 3 , 5 , 6 spermatoceles have been reported in the literature.…”

“…However, bilateral 5 , 10 multilocular 3 , 5 , 6 spermatoceles have been reported in the literature. Six of the reported cases of giant spermatoceles occurred in men above 40 years 3 , 5 - 8 , 11 unlike our patient. The remaining 3 cases involved males aged 14, 27, and 40 years.…”

“… 13 Surgery is usually recommended when the diameter of the spermatocele reaches 4 cm and if it is associated with symptoms that cause the patient discomfort, such as cosmetic concerns or scrotal pain (as is the case in the present report) or if there is an associated hernia or hydrocele. 3 - 11 , 23 Surgery is also indicated if a neoplastic pathology cannot be ruled out. Adenocarcinoma of the rete testis has been reported in the literature.…”

“… 27 Customarily, physicians depend on the presence (spermatocele) or absence (epididymal cyst) of sperm to differentiate between the 2 lesions. 3 , 5 - 11 , 25 …”

“…1 , 2 It infrequently gets big enough to bother the patient, be associated with scrotal heaviness, raise suspicions of neoplasm, or necessitate treatment. 3 - 11 This condition is typically insidious and its diagnosis is incidental; therefore, its true incidence has not been documented yet. However, spermatoceles are common as some authors reported an incidence of 30% in men who underwent scrotal sonographic scanning for different reasons.…”