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[Bilateral synchronous multilocular epididymal cysts: a case report].
H Ushida1, H Hayashida, C J Kim
1Department of Urology, Shiga University of Medical Science.
Nihon Hinyokika Gakkai Zasshi. the Japanese Journal of Urology
|September 11, 1999
Summary
This report details a rare case of bilateral synchronous multilocular epididymal cysts in a 56-year-old man. The cysts, originating from the head, body, and tail of the epididymis, contained spermatozoa, presenting a unique clinical finding.
Area of Science:
- Urology
- Reproductive Medicine
- Surgical Pathology
Background:
- Epididymal cysts are typically acquired, resulting from tubular obstruction and dilation.
- They commonly originate from the epididymal head, are unilateral, and usually measure under 1 cm.
Observation:
- A 56-year-old male presented with bilateral intrascrotal swelling.
- Ultrasonography revealed bilateral multilocular lesions, preoperatively diagnosed as hydroceles.
- Surgical exploration identified bilateral synchronous multilocular epididymal cysts originating from the head, body, and tail, distinct from tunica vaginalis cysts.
Findings:
- Bilateral epididymal cystectomy was performed on cysts measuring 12x6 cm (right) and 8x5.5 cm (left).
- Cystic fluid analysis revealed the presence of spermatozoa in both cysts.
- Histopathological examination confirmed epididymal origin, involving multiple segments of the epididymis.
Implications:
- This case highlights an exceptionally rare presentation of bilateral, synchronous, and extensive epididymal cysts.
- The findings expand the known anatomical origins and size variations of epididymal cysts.
- Understanding such rare pathologies is crucial for accurate diagnosis and surgical planning in urology.