Gupta Shubham, Shinde Sangita, Rathod Vishal, Shinde Raju K
General Surgery, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Pharmacology, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Cureus. 2022 May 4;14(5):e24722. doi: 10.7759/cureus.24722. eCollection 2022 May.
Bilateral multilocular huge epididymal cysts are a rare entity with few reports in the literature. Epididymal cysts are mostly found in middle-aged men with or without symptoms. We present the case of a 45-year-old man with asymptomatic bilateral scrotal swelling, which was clinically diagnosed as a right epididymal cyst with left hydrocele. However, an ultrasound of the scrotum revealed bilateral epididymal cysts with normal testes. Intraoperatively, it demonstrated bilateral huge epididymal cysts for which the patient underwent excision of bilateral epididymal cysts. Postoperatively, the patient is doing well on follow-up. Thus, it is concluded that when the epididymal cyst is larger than 10 mm or 1 cm and does not involute with time, surgery is indicated. In comparison, epididymal cysts smaller than 10 mm or 1 cm are managed conservatively.
双侧多房性巨大附睾囊肿是一种罕见的疾病，文献报道较少。附睾囊肿多见于中年男性，有无症状者均有。我们报告一例45岁男性，无症状性双侧阴囊肿大，临床诊断为右侧附睾囊肿伴左侧鞘膜积液。然而，阴囊超声显示双侧附睾囊肿，睾丸正常。术中发现双侧巨大附睾囊肿，患者接受了双侧附睾囊肿切除术。术后随访患者恢复良好。因此，得出结论：当附睾囊肿大于10mm或1cm且不随时间消退时，应考虑手术治疗。相比之下，小于10mm或1cm的附睾囊肿则采取保守治疗。
