scholarly journals Encysted Spermatic Cord Hydrocele in a 60-year-old, Mimicking Incarcerated Inguinal Hernia: A Case Report

Author(s):  
Manimaran D
2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Maxwell C. Breitinger ◽  
Evan H. Roszkowski ◽  
Adam J. Bauermeister ◽  
Andrew A. Rosenthal

Duplication of the vas deferens is a rare anomaly, defined as the presence of two distinct vasa deferentia within one spermatic cord, with only 28 cases reported worldwide since 1959. We report the case of a 63-year-old man with a duplicate vas deferens, presenting with abdominal pain from bowel obstruction secondary to incarcerated inguinal hernia. Spermatic cord dissection during hernioplasty revealed duplication of the vas deferens within the right spermatic cord. Doppler ultrasonography confirmed absence of waveforms in both vasa deferentia with arterial signal in the accompanying vessel. The hernia was repaired without complication. This report emphasizes recognition of duplicate vas deferens in avoiding iatrogenic injury and optimizing surgical outcome.


1998 ◽  
Vol 91 (Supplement) ◽  
pp. S34
Author(s):  
Jeff Swanson ◽  
Jude Ozuzu ◽  
Coleen Amato ◽  
Angel Fermin ◽  
Gary R. Dunkerley

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Moh'd Shafiq Ramadan ◽  
Huda Al-Zuhd ◽  
Anas Atari

Abstract Aim “For pre operative optimization and educational purposes, rare possibilities should be included in the differential diagnosis”” Material and Methods “CASE REPORT. Inguinal hernia is one of the common operations done by surgeons, often diagnosed clinically. Here we present a case of 29 year old male patient presented with inguinal swelling for 3 years. He was admitted for the surgical ward as a case of incarcerated inguinal hernia for elective repair under GA. Intra op the mass was not consistent with inguinal hernia, two other possibilities were a concern that can cause the swelling; 1) testes, which was excluded by examining the scrotum, 2) Dermoid/Epidermoid cyst which was checked by the mass content of hair and pasty fluid” Results “DERMOID CYST” Conclusions “Most surgeons depend on clinical picture in diagnosing inguinal hernia, thus even other rare possibilities should be included in the differential diagnosis. Unusual presentations of inguinal hernia should be having radiological evaluated.”


2011 ◽  
Vol 01 (01/03) ◽  
pp. 63-65
Author(s):  
Padma Shetty K. ◽  
Harish S. Permi ◽  
Michelle Mathias ◽  
Kishan Prasad ◽  
Teerthanath S. ◽  
...  

AbstractLiposarcoma in the inguinal region though rare are clinically significant lesions. Preoperative diagnosis is difficult since the clinical findings are very similar to that of inguinal hernia. We report a rare case of Liposarcoma of the spermatic cord in 85 year old male, clinically diagnosed as left sided indirect inguinal hernia. Surgical excision specimen showed multiple globular lipomatous masses which were yellowish and grey tan with areas of myxoid degeneration and necrosis seen. Microscopic examination showed adipocytes arranged in lobules with numerous blood vessels, lipoblasts and myxoid stroma confirming the diagnosis of myxoid liposarcoma. He is on regular follow up since two years without any recurrence or metastasis. Our case report highlights the importance of sampling and examination of fatty masses in the inguinal region to rule out the possibility of liposarcoma as they are mistaken for lipoma at surgery.


2016 ◽  
Vol 28 ◽  
pp. 234-236
Author(s):  
Ahmad S. Ashrafi ◽  
Michael J. Horkoff ◽  
Waleed M. Mohammad ◽  
Shaheer Tadros ◽  
Sudhir Sundaresan

2009 ◽  
Vol 3 (1) ◽  
Author(s):  
Efstratios Christianakis ◽  
Nikolaos Paschalidis ◽  
Georgios Filippou ◽  
Spiros Rizos ◽  
Dimitrios Smailis ◽  
...  

2021 ◽  
Vol 06 (06) ◽  
Author(s):  
Sarmukh S ◽  
Tan YL ◽  
Ramesh T ◽  
Chew LG

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