title: Large dermoid cyst of the spermatic cord presenting as an incarcerated hernia: a rare presentation and literature review.
abstract: Dermoid cyst of the spermatic cord is a very rare clinical entity with only a few cases reported in the literature so far. We herein describe an extremely rare case of a large dermoid cyst of the spermatic cord measuring 8.5 x 5 x 5 cm in a young patient who presented with clinical manifestations of an incarcerated inguinal hernia. After the cyst excision, a diffuse direct hernia became apparent and a Lichtenstein polypropylene mesh repair was performed. Direct hernia was likely the result of chronic pressure on the inguinal floor maintained by the large cyst. We conclude that although very rare, dermoid cyst of the spermatic cord should be considered as a part of the differential diagnosis in patients presenting with an irreducible inguinal mass of a long course.
authors: 2nd Department of Surgery, Army General Hospital, 19 Taxiarhon Str, 19014, Kapandriti, Athens, Greece. nikos_salemis@hotmail.com
authors: N S
authors: NS
authors: Salemis
authors: G
authors: G
authors: Karagkiouzis
authors: D
authors: D
authors: Sambaziotis
authors: E
authors: E
authors: Tsiambas
mesh_terms: D003884:Dermoid Cyst / Q000175:diagnosis*; D005834:Genital Neoplasms, Male / Q000175:diagnosis*; D006552:Hernia, Inguinal / Q000175:diagnosis*; D006801:Humans; D008297:Male; D013085:Spermatic Cord; D055815:Young Adult