Case Report
Extra Scrotal Spermatocele – A Unique Case Presentation & Brief Review of literature
Iqbal Singh1*, Aravind TK2, Dibya Priyadarsini Behera 3, Deep Patel4 and Natasha Panesar5
1M. Ch (Urology), DNB, MS, Professor (CAS), Department of Surgery (Urology), University College of Medical Sciences (University of Delhi) & GTB Hospital, ORCID ID: https://orcid.org/0000-0001-8743-3404
2MBBS, Post Graduate Junior Resident, Department of Surgery, University College of Medical Sciences (University of Delhi) & GTB Hospital, ORCID ID: https://orcid.org/0000-0002-6501-5014
3MBBS, Post Graduate Junior Resident, Department of Surgery, University College of Medical Sciences (University of Delhi) & GTB Hospital, ORCID ID: https://orcid.org/0000-0001-7672-904X
4MBBS, Post Graduate Junior Resident, Department of Surgery, University College of Medical Sciences (University of Delhi) & GTB Hospital
5MBBS, Hamdard Institute of Medical Sciences & Research (HIMSR), ORCID ID: https://orcid.org/0000-0002-8630-4544
Iqbal Singh, M. Ch (Urology), D.N.B (GUSurg), MS, DNB (Surg) Fellowship (Robotics & Minimally Invasive Urology), WFUMS, NC, USA. Professor& Senior Consultant Urologist, Department of Surgery, University College of Medical Sciences, (University of Delhi).F-14 NDSE-2, New Delhi-110049. India.
Received Date: October 04, 2020; Published Date: November 12, 2020
Abstract
Background: Spermatoceles are extra testicular lesions caused by cystic dilation of the efferent ductules filled with clear/milky fluid containing spermatozoa usually diagnosed incidentally either as a scrotal swelling or by ultrasonography. Suspecting and diagnosing spermatoceles presenting at extra scrotal positions is extremely rare and very few cases have been described in literature thus far. This article attempts to depict a patient presenting with one such spermatocele at an unusual location which adds to the scarce literature on the subject.
Case Presentation: A 60-year-old male presented with complaints of a gradually progressing left inguinal swelling for past 3 months with prior trivial scrotal trauma. Clinical evaluation and investigations revealed a 5 × 3 cm inguinal swelling extending up to the superior aspect of the left hemiscrotum that was confirmed as a spermatocele on pathological analysis at an unusual extra scrotal location.
Conclusion: Spermatoceles presenting at extra scrotal locations are extremely rare occurrences as is evident by the scant available published literature. This report adds to the scarce literature and also alerts the practicing urologist/surgeon towards insisting on a complete physical examination including simple but effective examination techniques like the transillumination technique as an aid to diagnosis of spermatoceles that may present uniquely at uncommon (extrascrotal) locations as in the present case.
Keywords: Extrascrotal; Inguinal; Spermatocele; case report
Abbreviations: FNAC: Fine Needle Aspiration Cytology; OPD: Outpatient Department
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Iqbal Singh, Aravind TK, Dibya Priyadarsini Behera, Deep Patel. Extra Scrotal Spermatocele – A Unique Case Presentation & Brief Review of literature. Annal Urol & Nephrol. 2(2): 2020. AUN.MS.ID.000534.
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