Spermatic cord hydrocele

Spermatic cord hydrocele (SCH) refers to loculated fluid collection along the spermatic cord. It separated from and located above the testicle and the epididymis.

It results from aberrant closure of the processus vaginalis.

There are two recognised sub types

  • encysted hydrocele - fluid collection does not communicate with the peritoneum above or the tunica vaginalis below.
  • funicular hydrocele - fluid collection communicates with the peritoneum at the internal inguinal ring but does not communicate with the tunica vaginalis
Ultrasound

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 colour Doppler interrogation

Elective surgery may be useful in preventing development of an acquired indirect hernia 3.

It may occasionally be misdiagnosed as an inguinal hernia clinically 7.

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Article information

rID: 25410
System: Urogenital
Synonyms or Alternate Spellings:
  • Spermatic cord hydroceles
  • Spermatic cord hydrocoele
  • Spermatic cord hydrocoeles
  • Hydrocoele of spermatic cord
  • Spermatic cord hydrocele (SCH)

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Cases and figures

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    Left testis & epi...
    Case 1
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    Case 3
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    Case 4
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    Encysted hydrocel...
    Case 5
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    Left
    Case 6
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