Epididymal Cyst - A Case Study

Dr. Prashanth K; Dr. Vinayak A. Mali

doi:10.21760/jaims.v3i04.472

Dr. Prashanth K Associate Professor, Dept. of Shalya Tantra, Shri Dharmasthala Manjunatheshwara College of Ayurveda Udupi, Karnataka, INDIA.
Dr. Vinayak A. Mali Final Year Post Graduate Scholar, Dept. of Shalya Tantra, Shri Dharmasthala Manjunatheshwara College of Ayurveda Udupi, Karnataka, INDIA.

DOI: https://doi.org/10.21760/jaims.v3i04.472

Keywords: Epididymal cysts, infertility, local anaesthesia, Excision of epididymal cysts

Abstract

Cysts of the epididymis are usually congenital and derived from an embryonic remnant. These cysts are due to cystic degeneration of remnants of the paramesonephric or Mullerian duct and Remnants of the mesonephric duct or Wolffian duct system. Here we report a case of bilateral Epididymal cysts in a middle aged man with a complaint of scrotal lump and infertility since 15 years. He was treated with excision of the cysts under local anaesthesia and had a marked improvement in scrotal discomfort and urgency of micturition after the treatment.

Downloads

Download data is not yet available.

References

https://patient.info/health/scrotal-lumps-pain-andswelling/epididymal-cyst.

Somen Das. A Concise Textbook of Surgery. 8th edition, Dr Somen Das - Kolkata, 2014;p.1316.

Bailey and Love’s, Short Practice of Surgery; Edited by Norman S Williams, Christopher J K Bulstrode, P Ronan O’Connell; 25th Edition; UK: Hodder Arnold; 2008; Pp 1513, p1383.

Black JA, Patel A. Sonography of the abnormal extratesticular space. AJR Am J Roentgenol 1996;167:507–511.

Doherty FJ. Ultrasound of the nonacute scrotum. Semin Ultrasound CT MR 1991; 12:131–156.

Subramanyam BR, Balthazar EJ, Raghavendra BN, Horii SC, Hilton S. Sonographic diagnosis of scrotal hernia. AJR Am J Roentgenol 1982; 139: 535–538.

Ragheb D, Higgins JL Jr. Ultrasonography of the scrotum: technique, anatomy, and pathologic entities.J Ultrasound Med 2002; 21:171–185.

Linkowski GD, Avellone A, Gooding GA. Scrotal calculi: sonographic detection. Radiology 1985; 156:484.

Bostwick DG. Spermatic cord and testicular ad- nexa. In: Bostwick DG, Eble JN, eds. Urologic surgical pathology. St Louis, Mo: Mosby, 1997; 647– 674.

Beccia DJ, Krane RJ, Olsson CA. Clinical man- agement of non-testicular intrascrotal tumors. JUrol 1976;116:476 – 479.

Bostwick DG. Spermatic cord and testicular ad- nexa. In: Bostwick DG, Eble JN, eds. Urologic surgical pathology. St Louis, Mo: Mosby, 1997; 647– 674.

Ulbright TM, Amin MB, Young RH. Miscella- neous primary tumors of the testis, adnexa, and spermatic cord. In: Rosai J, Sobin LH, eds. Atlas of tumor pathology, fasc 25, ser 3. Washington, DC: Armed Forces Institute of Pathology, 1999; 235–366.

Linkowski GD, Avellone A, Gooding GA. Scrotal calculi: sonographic detection. Radiology 1985; 156:484.

Rioja J, Sánchez-Margallo FM, Usón J, Rioja LA. Adulthydrocele and spermatocele. BJU Int. 2011;107:1852-64.

Homayoon K, Suhre CD, Steinhardt GF. Epididymal cysts in children: natural history. J Urol. 2004; 171:1274-6.

ChillonSempere FS, Dominquez Hinarejos C, Serrano Durba A, EstornellMoragues F, Martinez-Verduch M, Garcia Ibarra F. Epididymal cysts in childhood. Arch Esp Urol. 2005; 58: 325-8.

Sushruta, Sushruta Samhita, with Nibhandha Sangraha comentary by Dalhana, foreword by Acharya Yadav ji Trikam ji. 8th edition.Varanasi: Choukhamba Sanskrit Sansthan;2005. Pp.824; p.315.

Erikci V, Hosgor M, Aksoy N, Okur O, Yildiz M, Dursun A, Demircan Y, Ornek Y, Genisol I. Management of epididymal cyst in childhood. J Pediatr Surg. 2013;48:2153-6.