Misdiagnosed groin swelling: A case of encysted hydrocele mimicking incarcerated inguinal hernia

Abstract

The hydrocele of the spermatic cord is a rare anomaly, often presents as an inguinal swelling that extends to the upper scrotum. It can be encysted, funicular, or mixed. A 14-year-old male experienced painful swelling in his right groin for three weeks, which was confirmed intraoperatively to be an encysted hydrocele of the spermatic cord. The diagnosis for this condition is primarily clinical; ultrasound may also aid in confirmation. Conservative management is possible in early infancy, but surgical intervention is often necessary if the condition persists or presents late.