Misdiagnosed groin swelling: A case of encysted hydrocele mimicking incarcerated inguinal hernia

The hydrocele of the spermatic cord is a rare anomaly, often presents as an inguinal swelling that extends to the upper scrotum. It can be encysted, funicular, or mixed. A 14-year-old male experienced painful swelling in his right groin for three weeks, which was confirmed intraoperatively to be an...

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Bibliographic Details
Main Authors: Donald Dominick Lema, Bartholomeo Nicholaus Ngowi, Frank Bright, Denis Mucunguzi, Nyamhanga Maro Nsaho, Orgeness Jasper Mbwambo
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Urology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214442025001585
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Summary:The hydrocele of the spermatic cord is a rare anomaly, often presents as an inguinal swelling that extends to the upper scrotum. It can be encysted, funicular, or mixed. A 14-year-old male experienced painful swelling in his right groin for three weeks, which was confirmed intraoperatively to be an encysted hydrocele of the spermatic cord. The diagnosis for this condition is primarily clinical; ultrasound may also aid in confirmation. Conservative management is possible in early infancy, but surgical intervention is often necessary if the condition persists or presents late.
ISSN:2214-4420