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Computed tomography demonstrating an inguinal canal lesion. There was evidence of a prior repair (panel A; arrow). There is a well-circumscribed 12.0 cm fluid collection. A fibrous capsule vs. hernia sac is demonstrated (panel C; arrow).
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A small left hydrocele was also observed (Fig. 1).
Inguinal hernia pseudocyst. Approximately 750 mL of serosanguinous fluid were contained within the fibrous capsule (panel D).
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Careful blunt dissection was employed to remove the adhesions of the cystic lesion from the scrotum until the entirety of the cyst was delivered into the wound (Fig. 2, panel A). The cystic lesion was entirely resected from the cord structures and no intraperitoneal connection was found (Fig. 2; panel C). Pathological examination of the specimen demonstrated a pseudocyst with a thick, uniloculated fibrous capsule, filled with serofibrinous fluid containing histiocytes; clinically seroma (Fig. 2d).