Abstract

PANTALOON HERNIA WITH ENCYSTED HYDROCELE OF THE CORD IN A MALE: A CASE REPORT

Dr. Pranav Naikwade*, Dr. Yogesh Badwe, Dr. Jyoti Shinde, Dr. Balaji Mugave and Dr. Kamlakar Shahare

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Abstract

A number of pathologies can present as groin swellings in adults. Among these, encysted hydrocele of the cord presenting as swelling in an adult is a rare. Hydrocele of spermatic cord is caused by defect in closure of the processus vaginalis, as the testicles descend into the scrotum during foetal development. It usually occurs in infancy and childhood. There are two types of hydrocele of spermatic cord. Encysted type is caused by defective closure at both proximal and distal ends of processus vaginalis and it does not communicate with the peritoneal cavity. Funicular type is caused by defective closure of only distal end of tunica vaginalis and it communicates with the peritoneal cavity. The encysted type can be confused clinically with incarcerated inguinal hernia, inguinal lymphadenopathy, undescended testis and primary tumours of cord like lipoma. Here we present a rare case of pantaloon hernia of obstructed indirect component and direct component with encysted hydrocele in a 50-yearold male, which clinically mimicked incarcerated inguinal hernia. The diagnosis of encysted hydrocele was made intraoperatively. Excision of the sac was performed and the patient was discharged with no complications.

Keywords: Spermatic cord, encysted hydrocele of cord, pantaloons, bassini repair.