Abstract
Encysted hydrocele of the spermatic cord occurs due to the persistence of the Cranford section, which is a segment of the patent processus vaginalis. This results in localised fluid collection, causing an encysted hydrocele. The present case reports a rare cause of groin swelling that mimics an incarcerated inguinal hernia. A 55-year-old male presented with complaints of swelling over his right groin for the past 6 months and dull-aching pain for the past 1 week. Clinically diagnosed as a case of a right incarcerated inguinal hernia. High-frequency ultrasound revealed an anechoic cystic lesion of size 8×3.8 cm in the subcutaneous plane of the right inguinal region with no bowel or omentum as content. Intraoperatively, a 9×7 cm ovoid encysted hydrocele of the cord was identified. No intraoperative findings were suggestive of an inguinal hernia. The hydrocele sac was carefully excised from cord contents. Prompt anticipation and surgical management are required for the diagnosis and management of an encysted hydrocele.
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