Unusual Mass of the Spermatic Cord

Abstract

A soft tissue mass of the spermatic cord is rare, and usually diagnosis is only made after pathological examination of the specimen, which is removed with the cord and corresponding testicle. We report a case of peritoneal inclusion cyst on an ectopic appendix herniating in the inguinal canal, which was easily resected from the spermatic cord. CASE REPORT A 75-year-old male was referred for a painless lump in the right groin. Physical examination revealed a soft mass in the inguinal region, separated from the right testicle in its normal scrotal position. There was no clinical sign of inflammation. Computerized tomography confirmed the presence of a 3 2 cm. abnormal mass adhering to the spermatic cord (fig. 1). The mass contained liquid and some small air bubbles, suggesting a diagnosis of abscess. Laboratory analysis of blood and urine samples was unremarkable. Surgical exploration was recommended, and the patient was informed that the right testicle might have to be removed together with the spermatic cord. At inguinal exploration the cord was easily separated from