Spermatic cord hydrocele

Last revised by Yuranga Weerakkody on 10 May 2022

A spermatic cord hydrocele refers to a loculated fluid collection along the spermatic cord. It is separated from, and located above, the testis and the epididymis.

It results from aberrant closure of the processus vaginalis.

There are two recognized subtypes

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.

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.

As a very broad differential for masses in the inguinal region - refer to 

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