De Luca Alessandro1, Franzoso Lucia2, Danese Viviana4*, De Luca Francesco Luca5, Roberta Maria Isernia6, Giungato Simone7, De Luca Giuseppe Massimiliano3
1Department of General Surgery, “San Pio” Hospital Castellaneta (TA), Italy
2Department of Anesthesia and Intensive Care, "SS. Annunziata Hospital", Italy
3Department of General Surgery, “V. Bonomo” Bari Policlinico-Italy, University of Bari, Italy
4Department of Chemistry and Pharmaceutical Technology, University “Aldo Moro” of Bari, Italy
5Department of Anesthesia and Intensive Care, "Annunziata Hospital", Italy
6National Institute of Gastroenterology, Saverio De Bellis Research Hospital, Italy
7Department of General Surgery, “San Pio” Hospital, Italy
Both clinical and US assessments are in several cases not quite diriment about misunderstood subacute scrotal swelling, despite ability in recognition of almost all pathologies affecting the scrotal sac and its content. In a former clinical scenario of incarcerated inguinoscrotal hernia, we admitted in an emergency setting a 36 y-old male patient and discovered during the surgical operation, after a worthless scrotal ultrasound-Doppler exam, a latter enormous 17 cm × 10 cm × 9 cm seminomatous neoplasm with hypertensive ipsilateral hydrocele. A radical epididymo-orchiectomy was performed and, therefore, the patient was sent to the oncologist for complementary therapies. A poor correlation has been lighted on between pathophysiologic processes affecting scrotal structures. In conclusion, following even potential masquerading clinical findings, some additional radiological findings such localized CT scan could allow a better distinction between scrotal injuries, achieving better preoperative planning and the best tailored surgical outcome.
Alessandro DL, Lucia F, Viviana D, Francesco Luca DL, Isernia RM, Simone G, et al. Neither Inguinoscrotal Hernia nor Hydrocele Misunderstood Giant Testicular Neoplasm: Case Report and Literature Review. Clin Surg. 2022; 7: 3477..