Giant Cavernous Hemangioma of the Spermatic Cord: Report of an Exceptional Case and Literature Review

Introduction: Cavernous hemangiomas of the spermatic cord constitute exceptionally rare benign vascular malformations, representing less than 2% of genital hemangiomas. Fewer than 60 cases have been documented in the worldwide literature since the first description in 1956. Preoperative diagnosis remains difficult due to non-specific clinical presentation. Case Report: We report the case of a 53-year-old hypertensive patient who consulted for a right scrotal swelling evolving for 10 years. Scrotal ultrasound revealed a mixed tumor formation of 131 x 73 mm, weakly vascularized on Doppler, located at the level of the right spermatic cord. Tumor markers were normal. A right inguinal orchiectomy was performed. Anatomopathological examination confirmed the diagnosis of cavernous hemangioma. Postoperative evolution was favorable without recurrence at 12 months of follow-up. Conclusion: This case illustrates a cavernous hemangioma of the spermatic cord of exceptional dimensions. Surgical management by orchiectomy remains the reference treatment with excellent prognosis after complete excision.