Bilateral spermatocele concurrent with bilateral scrotal hydrocele presenting huge scrotal swelling

Abstract

We report the very rare case of bilateral spermatoceles concurrent with bilateral scrotal hydrocele presenting huge scrotal swelling. A 52-year-old man came to our hospital because of large scrotal swelling. Ultrasonography and magnetic resonance imaging showed bilateral large scrotal hydroceles concurrent with bilateral multicystic spermatoceles above the hydrocele. He had no history of vasectomy or scrotal injury, and the semen examination was normal. The contents of the hydroceles and spermatoceles were first aspirated, but hydrocelectomy and spermatocelectomy were eventually done because after the aspiration the fluid increased more rapidly. Bilateral spermatocele is very rare; moreover, this is the first report of bilateral spermatocele concurrent with bilateral hydrocele.

われわれは両側陰嚢水腫を併発し, 著明な陰嚢腫大を呈した両側精液瘤の1例を経験したので報告する。症例は52歳, 男性。著明な両側陰嚢腫大を主訴に受診。エコーおよびMRIにて両側陰嚢水腫および両側精液瘤と思われる多房性の液体貯留を認めた。精液検査は異常なく, 精管結紮術や陰嚢部の外傷などの既往もなかった。最初は吸引穿刺を行ったが, その後以前より急速に増大するため手術を施行した。両側精液瘤は比較的稀な疾患であり, 両側陰嚢水腫を伴った症例はこれまでに報告がない。(著者抄録)