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Case Report
Huge multilocular spermatocele in a patient with left scrotal swelling
1 Department of Urology, Higashimatsuyama Municipal Hospital, Higashimatsuyama, Saitama, Japan
2 Department of Urology, Nihon University School of Medicine, Tokyo, Japan
3 Department of Urology, Kawaguchi Municipal Medical Center, Kawaguchi, Saitama, Japan
4 Department of Pathology, Nihon University School of Medicine, Tokyo, Japan
Address correspondence to:
Daisaku Hirano
Department of Urology, Higashimatsuyama Municipal Hospital, 2392 Oaza Matsuyama, Higashimatsuyama, Saitama 355-0005,
Japan
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Article ID: 100025Z15DH2022
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Hirano D, Yoshioka H, Irie Y, Sakurai F, Ohno S, Kusumi Y. Huge multilocular spermatocele in a patient with left scrotal swelling. J Case Rep Images Urol 2022;7(2):1–4.ABSTRACT
Introduction: Most spermatoceles are asymptomatic, unilocular, and small in size. They are typically cystic dilatations of the tubules of the efferent ductus in the head of the epididymitis, and less commonly dilatations of the tubules of the rete testis or aberrant ductus. However, huge spermatoceles are rare and to cause discomfort and cosmetic problems.
Case Report: We present a case of a 42-year-old male with huge multilocular spermatocele mimicking hydrocele, who suffered from left scrotal enlargement for several years. Scrotal ultrasonography and magnetic resonance imaging (MRI) showed multilocular cystic spaces at the head of the left testis. Surgical exploration was performed and the size of the removal specimen was approximately 8.5×6.5×6.0 cm. The aspirated fluid contained spermatozoa, and histopathological and immunohistochemical examinations of the specimen showed a multilocular spermatocele arising from the epididymitis. He has been followed up without any significant complaints and recurrence one year after the surgery.
Conclusion: It is important to keep in mind for spermatocele when encounter giant cystic diseases with multilocular appearance adjacent to the testicle. In such cases surgical exploration can be recommended.
Keywords: Huge, Multilocular, Spermatocele, Spermatocelectomy
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Author Contributions
Daisaku Hirano - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Hiroki Yoshioka - Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Yuki Irie - Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Fuminori Sakurai - Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Shou Ohno - Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Yoshiaki Kusumi - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Daisaku Hirano et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
