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    Go to the top of the page   ID: 20051118133428 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Dirk Schaper. Spermatocele. PedRad [serial online] vol 5, no. 11.

     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Dirk Schaper (Klinik für Kinderchirurgie Krankenhaus St. Elisabeth und St. Barbara in Halle)  

     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     Pediatric Radiology CasesAge:

    13 Years  

     Pediatric Radiology CasesGender:


     Pediatric Radiology CasesRegion-Organ:


     Pediatric Radiology CasesMost likely etiology:


     Pediatric Radiology CasesHistory:

    Incidental findings in sonographic examination due to acute pain in the right scrotal area.
    Left side without complaints with. On the right side, we found testicular torsion and could detorque the testes. The sonographic examination of the left side showed unchanged findings.
    Palpatory findings showed morphologically normal testes and epididymis. There were two indolent, soft masses felt at the head of the epidydimis.  

     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    The etiology of a spermatocele is not known in-depth. One assums that it could form due to an obstruction of the epididymal tubuli. This obstruction could be of inflammatory or traumatic origin.
    If sperm are found in the cystic process, one can speak of a spermatocele. If there are no sperm found, it is an epididymal cyst.  

     Pediatric Radiology CasesRadiological findings:

    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: 10x6mm large, echoless mass in the upper testicular pole/head of the epididymis.

    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Shown are two echoless masses at the head of the epididymis. 8x6mm and 11x7mm

    Ultrasound 3 <- view Ultrasound 3

    Ultrasound 3: Echoless mass at the upper pole of the testes.


     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Epididymal cyst, Epididymal lymphangioma, Tunica albuginea cyst, epidermoid cyst.  

     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    In our patient, a prophylactic pexy was planned, so that in this surgical procedure, the cystic structures could be removed. It proved to be a spermatocele in histology.
    Normally, a spermatocele is not an indication for surgery. Usually, the patients are symptomless and don't even know that they have it. 30% of the asymptomatic patients who are sonographically examined show a spermatocele.
    A surgical indication is only warranted in pain and very large cysts, which can cause a feeling of heaviness. Since spermatoceles are rarely larger than 10 mm, a larger mass should be investigated further.
    The most fit treatment is the open surgical removal through a scrotal cut. A puncture treatment is generally dismissed, due to the risk of infection. Sclerotherapy should not be considered in reproductive years, due to the risk of abacterial epididymitis.  

     Pediatric Radiology CasesComments of the author about the case:


     Pediatric Radiology CasesFirst description / History:


     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Frauscher,F., Klauser, A.,Stenzl, A., Helweg, G.,Amort, B., zur Nedden,D.
    US findings in the scrotum of extreme mountain bikers
    Radiology 2001; 219:427-431

    2. Medline: Medline
    Dogra,V.S., Gottlieb,R.H., Oka,M., Rubens,D.J.
    Sonography of the scrotum
    Radiology 2003; 227:18-36

    3. Medline: Medline

     Pediatric Radiology CasesKeywords:

    Spermatocele, Epididymal cyst, epididymis, sonography, testes, ultrasound, child, childhood, pediatric radiology  

     Pediatric Radiology Cases Cite this article:

    Dirk Schaper. Spermatocele. PedRad [serial online] vol 5, no. 11.

     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Pelvis-Testis
    or in the region: Pelvis
    or in the tissue/organ: Testis
    or with the etiology: unknown
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
    Dirk Schaper. Spermatocele. PedRad [serial online] vol 5, no. 11.


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    Dirk Schaper. Spermatocele. PedRad [serial online] vol 5, no. 11.


    Which diagnosis have other collegues guessed?

    • Nuk cyst
      Votes: 2 (11 %)

    • Spermatocele
      Votes: 9 (52 %)

    • Hydatide
      Votes: 1 (5 %)

    • Leydig Cell Tumor
      Votes: 0 (0 %)

    • Rhabdomyosarcoma
      Votes: 0 (0 %)

    • Hydrocele
      Votes: 5 (29 %)

        Total answers: 17

    Dirk Schaper. Spermatocele. PedRad [serial online] vol 5, no. 11.


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    Dirk Schaper. Spermatocele. PedRad [serial online] vol 5, no. 11.


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