Department of Pediatric Surgery, MAMC and associated LNH, New Delhi, India
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.
Spermatocele (epididymal cyst) in children is uncommon cause of scrotal swelling . 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].