Cholesterol Granuloma of Left-sided Hydrocele Sac Mimicking Testicular Tumor

Abstract

Cholesterol granuloma is a rare inflammatory reaction of tunica vaginalis that occur in response to deposition of cholesterol crystal and may simulate an intrascrotal tumor on physical examination, on ultrasound, and at operation. It can be very difficult to preoperatively distinguish testicular tumors from cholesterol granulomas of the testis or epididymis. Therefore, cholesterol granuloma should be kept in mind in patients with large and non-tender scrotal masses. Here, we report a rare case of cholesterol granuloma of hydrocele sac in a 40 year old man who presented with non-tender left scrotal sac. Patient was operated for vaginal hydrocele which on histopathological examination revealed cholesterol granuloma.

Keywords

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