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Spermatic Cord Hydrocele: A Case Series
Sukesh K S1, Kiran Prabhakar Rebello1, Anuj Jain1
1General Surgery, Autonomous State Medical College, Sultanpur, Sultanpur, IND.
Cureus
|March 4, 2026
Summary
Spermatic cord hydrocele (SCH) is a rare inguinoscrotal swelling. Clinical examination and ultrasonography are key to diagnosing SCH and differentiating it from inguinal hernia, especially in pediatric and adult cases.
Area of Science:
- Urology
- Pediatric Surgery
- Surgical Pathology
Background:
- Hydrocele is common, but spermatic cord hydrocele (SCH) is rare.
- SCH results from incomplete closure of the processus vaginalis, causing fluid accumulation along the spermatic cord.
- Both communicating and encysted variants of SCH exist, affecting children and adults.
Purpose of the Study:
- To describe the clinical presentation, diagnostic challenges, and surgical management of SCH.
- To highlight the importance of clinical examination and ultrasonography in differentiating SCH from inguinal hernia.
- To present a unique case series including both pediatric and adult patients.
Main Methods:
- Retrospective case series analysis.
- Inclusion of six patients (2 adults, 4 pediatric) with SCH.
- Surgical management and clinical data review.
Main Results:
- Five cases of encysted SCH and one of communicating SCH were surgically managed.
- Clinical examination and ultrasonography proved valuable in diagnosis.
- SCH presented as inguinoscrotal swelling separate from the testis.
Conclusions:
- SCH, though rare, requires careful clinical evaluation and imaging for accurate diagnosis.
- Distinguishing encysted SCH from irreducible inguinal hernia is crucial.
- Surgical management is effective for both pediatric and adult SCH cases.
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