Torsion of spermatocele: a newly described entity with 2 case reports

Torsed spermatocele, a rare cause of acute scrotum: Report of a case and review of literature

Spermatocele is a common cause of benign scrotal swelling that mostly arises from the head of the epididymis. It is a fluid-filled swelling containing spermatozoa. Torsion of a spermatocele is a very rare encounter for a urologist. It is poorly described in the English literature and there are only seven cases reported so far. There is no specific clinical feature suggesting spermatocele torsion and the diagnosis is often made during an emergency scrotal exploration. We report the eighth case of torsed spermatocele in a young adult diagnosed during emergency scrotal exploration for a suspected testicular torsion.

Giant Spermatocele Mimicking Hydrocele: A Case Report

Spermatoceles are usually asymptomatic and often found incidentally during physical examination. We report a case of giant spermatocele that mimicked a hydrocele. A 55-year-old man suffered from right scrotal enlargement for several years. As the heavy sensation and scrotal soreness worsened in recent months, he came to our outpatient clinic for help. Hydrocele was suspected due to transilluminating appearance of the scrotal content. Surgical exploration was arranged and a giant spermatocele was found. Total excision of the spermatocele was performed and the patient recovered well. The specimen was sent for pathology and spermatocele with spermatozoa was noted.

Multilocular spermatocele: a case report

We describe a case of a multilocular spermatocele. Ultrasound examination revealed several cystic spaces at the head of the left epididymis. Epididymal tumor could not be excluded, and therefore surgical exploration was performed. Histopathological examination of the specimen revealed a multilocular spermatocele arising from the rete testis. Most spermatoceles remain small and rarely present marked clinical problems. but they are occasionally large, and may simulate a solid tumor.

Testicular scanning and other applications of radionuclide imaging of the genital tract

The major application of nuclear imaging techniques to the genital tract is pertechnetate scintigraphy for evaluation of the acute hemiscrotum. Within a few years of the first descriptions of scrotal imaging, this technique achieved recognition as a valuable, even indispensable, emergency diagnostic procedure in this context; its validity has since been well confirmed in hundreds of reported cases. Because it is an established procedure with widely recognized applications, its discussion will occupy most of this article. Other nuclear procedures, less widely used either because they are investigative or applicable to smaller patient populations, will be more briefly described.

Torsion of a spermatocele: a case report and review of the literature

We report a case of torsion of a spermatocele in an adolescent. This condition has been described previously in adults. We recommend its consideration in the differential diagnosis of the acute scrotum in adolescents.