Cystic appendix epididymis

Case contributed by Ali Alsmair
Diagnosis certain

Presentation

The patient presented with testicular pain and scrotal swelling

Patient Data

Age: 30 years
Gender: Male
ultrasound

There is a well defined para-epididymal cyst with a hyperechoic thick wall seen with associated hydrocele, very closely related to the epididymal head, consistent with a cystic appendix epididymis (type 2b).

Case Discussion

Cystic epididymis appendix has a classification as following: type I (stalked) and type II (sessile), with subtypes A (small and simple), B (large and simple) and C (large and septated) 1.

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