Key result
Surgical excision of spermatic cord lymphangioma in a 9-year-old boy yields recovery without early recurrence.
Why the study?
Spermatic cord lymphangioma is a rare lymphatic malformation that can mimic encysted hydrocele in children, creating diagnostic uncertainty.
Case Report (n=1)
Spermatic cord lymphangioma is a rare condition that should be considered in pediatric inguinoscrotal swelling, and surgical excision is both diagnostic and therapeutic.
Spermatic cord lymphangioma may mimic encysted hydrocele in boys; leaves open optimal preoperative diagnosis and management strategies.
Background Spermatic cord lymphangioma is a rare lymphatic malformation that may mimic encysted hydrocele in children, creating diagnostic uncertainty. Case presentation A 9-year-old boy presented with a one-month history of painless right upper scrotal swelling. Examination revealed a cystic, transilluminant mass separate from the testis. Scrotal ultrasonography revealed a well-defined, unilocular cystic lesion measuring 4 × 2 cm with clear, anechoic fluid content and no internal septations or solid components. Elective surgical exploration was performed via a 2 cm right inguinal skin-crease incision. The spermatic cord was exposed, revealing a bluish cystic lesion arising from the cord structures. The cyst was carefully dissected off the vas deferens and the testicular vessels, achieving complete surgical excision while preserving the cord structures and leaving the tunica vaginalis intact. Histopathology confirmed lymphangioma. Recovery was uneventful, with no early recurrence observed. Conclusion Spermatic cord lymphangioma should be considered in pediatric inguinoscrotal swelling. Surgical excision is both diagnostic and therapeutic.
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Dahir et al. (2026) conducted a case report in Spermatic cord lymphangioma (n=1). Surgical excision was evaluated on Recovery and recurrence. Surgical excision of a spermatic cord lymphangioma in a 9-year-old boy was successfully performed, resulting in an uneventful recovery with no early recurrence.
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