Weerakkody Y, Walizai T, Campos A, et al. Spermatic cord hydrocele. Reference article, Radiopaedia.org (Accessed on 06 Mar 2025) https://doi.org/10.53347/rID-25410
Spermatic cord hydroceles are loculated fluid collections along the spermatic cord, which are separate from and located above the testis and the epididymis.
Usually seen as an oval anechoic mass in the groin along the spermatic cord, positioned above and separated from the testis and the epididymis. Typically well demarcated. Avascular on color Doppler interrogation.
Treatment and prognosis
Elective surgery may be useful in preventing development of an acquired indirect hernia 3.
Differential diagnosis
It may occasionally be misdiagnosed as an inguinal hernia clinically 7.
As a very broad differential for masses in the inguinal region - refer to
A young adult presents with left-sided groin swelling. An ultrasound is performed. The testicle and epididymis are both normal. However, there is cystic swelling noted above the epididymis in close approximation to the vessels in the spermatic cord. What is the most likely diagnosis?
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