Abstract
Dermoid cyst of the spermatic cord is a very rare clinical entity with only a few cases reported in the literature so far. We herein describe an extremely rare case of a large dermoid cyst of the spermatic cord measuring 8.5 × 5 × 5 cm in a young patient who presented with clinical manifestations of an incarcerated inguinal hernia. After the cyst excision, a diffuse direct hernia became apparent and a Lichtenstein polypropylene mesh repair was performed. Direct hernia was likely the result of chronic pressure on the inguinal floor maintained by the large cyst. We conclude that although very rare, dermoid cyst of the spermatic cord should be considered as a part of the differential diagnosis in patients presenting with an irreducible inguinal mass of a long course.
References
Yang DM, Kim HC, Lim JW, Jin W, Ryu CW, Kim GY, Cho H (2007) Sonographic findings of groin masses. J Ultrasound Med 26:605–614
Poenaru D, Jacobs DA, Kamal I (1999) Unusual findings in the inguinal canal: a report of four cases. Pediatr Surg Int 15:515–516
Rattan KN, Kumar S, Gahlawat S, Agarwal S, Kaushik S (2008) Dermoid cyst of spermatic cord: an uncommon presentation in a child. Ann Diagn Paediatr Pathol 12:37–39
Leeming R, Olsen M, Ponsky JL (1992) Inguinal dermoid cyst presenting as an incarcerated inguinal hernia. J Pediatr Surg 27:117–118
Tanaka T, Yasumoto R, Kawano M (2000) Epidermoid cyst arising from the spermatic cord area. Int J Urol 7:277–279
Lioe TF, Biggart JD (1993) Tumours of the spermatic cord and paratesticular tissue. A clinicopathological study. Br J Urol 71:600–606
Welch B, Barton TK (2002) Inguinal cord cysts. Hernia 6:33–35
Vaos G, Zavras N, Velaoras K, Ereikat K (2008) Mesothelial cyst of the spermatic cord as a cause of acquired cryptorchidism. Hernia 2008. doi:10.1007/s10029-008-0457-y
Pear BL (1970) Epidermoid and dermoid sequestration cysts. Am J Roentgenol Radium Ther Nucl Med 110:148–155
Bostwick DG (1997) Spermatic cord and testicular adnexa. In: Bostwick DG, Eble JN (eds) Proceedings of urologic surgical pathology, Mosby, Philadelphia, pp 647–673
Scoppetta FP (1957) A case of dermoid cyst of the spermatic cord. Rass Int Clin Ter 37:746–753
Horanyi J, Megyesi Z (1962) Dermoid cyst of the spermatic cord. Magy Seb 15:78–79
Diemer KF (1970) Dermoid cyst of the spermatic cord. Z Urol Nephrol 63:811–813
Brightmore T (1971) Dermoid cyst of the inguinal canal simulating a strangulated inguinal hernia. Br J Clin Pract 25:191
Moulik BK, Dutta T (1972) Dermoid cyst of the spermatic cord. Case report. Indian J Med Sci 26:443–444
Ghosh DP (1980) Dermoid cyst of the spermatic cord. J Indian Med Assoc 74:18–19
Ashraf SM, Ansari BA, Iqbal N, Ansari A (1985) Dermoid cyst of the inguinal canal. J Indian Med Assoc 83:125–126
Warren NP, Ralphs DN, Brew DS (1986) A very rare dermoid cyst with a new observation regarding pathogenesis. Br J Clin Pract 40:31–32
Wegner HE, Herbst H, Dieckmann KP (1994) Paratesticular epidermoid cyst and ipsilateral spermatic cord dermoid cyst: case report and discussion of pathogenesis, diagnosis and treatment. J Urol 152:2101–2103
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Salemis, N.S., Karagkiouzis, G., Sambaziotis, D. et al. Large dermoid cyst of the spermatic cord presenting as an incarcerated hernia: a rare presentation and literature review. Hernia 14, 321–323 (2010). https://doi.org/10.1007/s10029-009-0542-x
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DOI: https://doi.org/10.1007/s10029-009-0542-x