2nd Department of Surgery, Army General Hospital, 19 Taxiarhon Str, 19014, Kapandriti, Athens, Greece.
Hernia. 2010 Jun;14(3):321-3. doi: 10.1007/s10029-009-0542-x. Epub 2009 Aug 11.
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 x 5 x 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.
精索鞘膜皮样囊肿是一种非常罕见的临床疾病，迄今为止，文献中仅报道了少数几例。我们在此描述了一例非常罕见的精索鞘膜皮样囊肿，患者为年轻男性，囊肿大小为 8.5 x 5 x 5 cm，临床表现为嵌顿性腹股沟疝。在切除囊肿后，出现弥漫性腹股沟直疝，行李金斯坦聚丙烯网片修补术。直疝可能是由长期压迫腹股沟底部的大囊肿引起的。我们的结论是，尽管非常罕见，但精索鞘膜皮样囊肿在出现不可复性腹股沟肿块且病史较长的患者中应被视为鉴别诊断的一部分。
