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Spermatocele Infrequent Cause of Scrotal Swelling in Children

Sisodiya RS*, Man PK, Panda SS

Department of Pediatric Surgery, MAMC and associated LNH, New Delhi, India

*Corresponding Author:
Sisodiya RS
Department of Pediatric Surgery
MAMC and associated LNH
New Delhi, India
E-mail: [email protected]
 

Clinical Presentation

A 10 year old male child presented with gradually progressive swelling in right scrotum, on and off pain in it since 8 month. There was no history of trauma to scrotum/fever/ pyuria/pain in abdomen. Examination reveal approximate 1 cm × 1 cm Trans illuminate, non-reducible, cystic mass in right spermatic cord just above testis. Ultrasonography showed cystic mass behind and above testis. Surgical exploration was done as child was symptomatic, there was 1 cm × 8 mm size cystic mass attached with head of epididymis (Figures 1 and 2). Complete excision of mass was done. Biopsy reveals Spermatocele.

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Figure 1: Cystic mass (blue arrow) attached with head of epididymis.

internalmedicine-Post-specimen-cystic-mass

Figure 2: Post of specimen of cystic mass.

Spermatocele (epididymal cyst) in children is uncommon cause of scrotal swelling [1]. Usual treatment is conservative with serial follow up [2-4]. Surgical excision should be considered when Spermatocele is symptomatic, not involuting with time or has developed complication like torsion [2-4].

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