title: Parasitised large intestinal diverticulum of the spermatic cord.
abstract: We present a 70-year-old male patient with an unusual incidental finding at an elective repair of an indirect left inguinal hernia (LIH). A black nodule resembling a melanoma metastasis in a lymph node was discovered attached to the spermatic cord. There was no contiguity with the large bowel on the same side. Histological examination showed an isolated, detached colonic diverticulum containing a faecolith. We postulate derivation from an incarcerated colonic diverticulum that became 'parasitised' onto the spermatic cord.
authors.affiliation: Department of Histopathology, Royal Cornwall Hospital, Truro, UK.
authors.forename: Thomas
authors.initials: T
authors.lastname: Grigor
authors.affiliation: Department of Surgery, Royal Cornwall Hospital, Truro, UK.
authors.forename: Sheikh
authors.initials: S
authors.lastname: Ahmad
mesh_terms: D000368:Aged; D002828:Choristoma / Q000175:diagnosis*; D003106:Colon / Q000473:pathology*; D004241:Diverticulum, Colon / Q000175:diagnosis*; D005834:Genital Neoplasms, Male / Q000175:diagnosis; D006552:Hernia, Inguinal / Q000601:surgery; D006801:Humans; D033162:Incidental Findings; D008297:Male; D013085:Spermatic Cord / Q000473:pathology*