Hydrocele of spermatic cord is caused by defect in closure of the processus vaginalis, as the testicles descend into the scrotum during foetal development. It usually occurs in infancy and childhood. There are two types of hydrocele of spermatic cord. Encysted type is caused by defective closure at both proximal and distal ends of processus vaginalis and it does not communicate with the peritoneal cavity. Funicular type is caused by defective closure of only distal end of tunica vaginalis and it communicates with the peritoneal cavity. The encysted type can be confused clinically with incarcerated inguinal hernia, inguinal lymphadenopathy, undescended testis and primary tumours of cord like lipoma. We are presenting a case of encysted hydrocele of spermatic cord in a 60-year-old male, which clinically mimicked incarcerated inguinal hernia.
Abstract:A 61-year-old man presented with a 2 week history of intermittent fever, recurrent headaches, arthralgia's and a non-pruritic erythematous macular rash on his right lower abdomen. The patient underwent an uncomplicated lumbar puncture and was commenced on antibiotics for suspected early disseminated Lyme disease. Few hours after the first antibiotic dose he had abrupt onset of high fevers, chills, hypotension and tachycardia requiring fluid resuscitation and antipyretics. Jarisch-Herxheimer reaction (JHR) is a transient shock-like syndrome that typically follows initiation of antibiotics and is classically associated with penicillin treatment of syphilis. We discuss a patient of disseminated Lyme disease who developed JHR after commencing antibiotic therapy.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.