Metastatic ampullary adenocarcinoma presenting as a hydrocele: a case report
Whitney O Lane1, Rex C Bentley, Herbert I Hurwitz
1Duke University School of Medicine, Duke University Medical Center, Durham, USA. whitney.lane@duke.edu.
Context:
Metastases from ampullary malignancies are common, but spread to the testicle and paratesticular tissue is exceedingly rare with only 2 reported cases in the literature.
Case Report:
We report a case of a 70 year-old male with a history of ampullary adenocarcinoma status post pancreaticoduodenectomy who presented with a symptomatic right-sided hydrocele. Subsequent pathology revealed metastatic ampullary adenocarcinoma.
Conclusions:
Metastasis to the testicle and paratesticular tissue from ampullary malignancies is rare, but must be considered in the evaluation of scrotal masses in patients with a history of ampullary malignancy.
