Varicocele, considered by experts to be a developmental problem, occurs when valves in the spermatic cord
veins that prevent blood from flowing backwards are absent.
We present a case of atypical (outward) testicular torsion demonstrated by CDU and the simultaneous manual de-torsion of the spermatic cord
8) A useful sign for differentiating a direct inguinal hernia from a fatty spermatic cord
is the "lateral crescent sign" (Figure 6).
The tumor may extend into the epididymis, spermatic cord
, or adjacent soft tissues, and this may be evident grossly.
8) The torsed structure in this condition is the spermatic cord
, which contains the testicular artery, vas deferens, lymphatic vessels, sympathetic nerves, and cremasteric muscle.
After spermatic cord
detorsion the left testicle was replaced in to the scrotum and scrotum was closed.
Ultrasonography and computed tomography confirmed the presence of a 7x4 cm abnormal mass adhering to the spermatic cord
In addition, two bloodless urinary bladder resections were performed removing cancerous tumors as well as two surgeries for cancer of the prostate using tissue welding for transaction of the spermatic cord
and accompanying vessels.
It's very common to have harmless lumps and cysts in the epididymis and in the spermatic cord
Metastases were located in the lymph nodes (n = 6, 67%), liver (n = 5, 56%), bone (n = 4, 44%), lung (n = 3, 33%), contralateral kidney (n = 2, 22%), brain (n = 1, 11%), suprarenal (n = 1, 11%), spermatic cord
(n = 1, 11%), soft tissues (n = 1, 11%), and mesentery (n = 1, 11%).
The testicular arteries, as well as the pampiniform plexus, nerves, and lymphatics, converge within the spermatic cord
and course toward the tunica albuginea.
Besides the epididymis, adenomatoid tumor can be located in the spermatic cord
, prostrate, ejaculatory ducts and scrotal capes and in females it can be located in uterus, fallopian tubes and ovaries (6).