PMC9112308_01
A grayscale image of the right scrotal sac showed a well-demarcated
unilocular giant cyst positioned superiorly to the right testis (Rt T)
suggesting a spermatocele.. The hyperechoic line and dots around it were just artifacts.
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PMC9112308_01_10.1177_11795476221097218-fig1.jpg
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The mass was overriding and pushing the testis inferiorly to the bottom of the scrotum (Figure 1), suggesting the existence of a giant spermatocele.
The spermatocele was overriding the superior and posterior aspects of the
testis (T), pushing it inferiorly and anteriorly but not enveloping it as is
the case in a hydrocele. The tunical covering of the testis was
maintained.
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fig2-11795476221097218
The cyst was dissected bluntly from the wall of the scrotum (Figure 2), after which it was separated gently from the spermatic cord, testis, and epididymis.
Histopathological examinations of the cyst revealed ciliated cuboidal
epithelium lining its wall. The epithelium formed papillary infoldings.
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The specimen was sent for histopathological examination, that revealed a cyst wall lined with a single layer of ciliated cuboidal epithelium with focal papillae (Figure 3). The postoperative course was uneventful, and the patient was discharged from the hospital to go home.