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Surgery.(General 1).Scrotum > 7. Epididymal Cysts and spermatocele > Flashcards

7. Epididymal Cysts and spermatocele Flashcards

1
Q

Epididymal Cysts

A
  1. Note
  2. ETIOLOGY
  3. PATHOLOGY
  4. CLINICAL PICTURE
  5. Differential Diagnosis
  6. TREATMENT
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2
Q

Note about Epididymal Cysts

A

They are multiple cysts not just one cyst

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3
Q

ETIOLOGY of Epididymal Cysts

A

1 Obscure etiology

  1. They are degenerative cysts of the vestigial embryonal remnants (Remnant of mesonephric tubules)
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4
Q

Remnant of mesonephric tubules in ETIOLOGY of Epididymal Cysts

A
  1. Paradidymis.

2. Appendix of the epididymis

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5
Q

PATHOLOGY of Epididymal Cysts

A
  1. They are multi-locular

2. Filled with crystal clear fluid

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6
Q

CLINICAL PICTURE of Epididymal Cysts

A
  1. Symptoms

2. Examination

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7
Q

Symptoms in CLINICAL PICTURE of Epididymal Cysts

A

Painless swelling of the scrotum.

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8
Q

Examination in CLINICAL PICTURE of Epididymal Cysts

A

Swelling with the following criteria :

  1. Site
  2. Size
  3. Shape
  4. Edge
  5. Surface
  6. Consistency
  7. Special character
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9
Q

Site of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

A

Purely scrotal lying just above and behind the testis

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10
Q

Size of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

A

variable

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11
Q

Shape of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

A

Globular

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12
Q

Edge of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

A

Well defined

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13
Q

Surface of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

A
  1. Multi-locular

2. Feel like a tiny bunch of grapes

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14
Q

Consistency of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

A

Tense cystic.

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15
Q

Special character of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

A
  1. Brilliantly translucent with numerous septae &
    tessellated
  2. Giving the Chinese lantern appearance.
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16
Q

Meaning of tessellated in Special character of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

A

repeated use of a single shape, without gaps or overlapping.

17
Q

Chinese lantern appearance in Special character of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

A
  1. Meaning

2. Pathogenesis

18
Q

Meaning of Chinese lantern appearance in Special character of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

A

Mesba7 el seny we feeh ketabat

19
Q

Pathogenesis of Chinese lantern appearance in Special character of the swelling in Examination in CLINICAL PICTURE of Epididymal Cysts

A

Due to numerous septa

20
Q

Differential Diagnosis of Epididymal Cysts

A
  1. Spermatocele.
  2. Encysted hydrocele of the cord
  3. Vaginal hydrocele
21
Q

The main difference between Epididymal Cysts and Encysted hydrocele of the cord in Differential Diagnosis of Epididymal Cysts

A

There is NO gap between the swelling & the testis in case of Epididymal Cysts

22
Q

The main difference between Epididymal Cysts and Vaginal hydrocele in Differential Diagnosis of Epididymal Cysts

A

The testis is palpable in case of Epididymal Cysts

23
Q

TREATMENT of Epididymal Cysts

A

Management of

  1. Most epididymal cysts
  2. Epididymal cysts causing discomfort
24
Q

Management of most epididymal cysts in TREATMENT of Epididymal Cysts

A

Deserve no treatment

25
Q

Management of epididymal cysts causing discomfort in TREATMENT of Epididymal Cysts

A

Excision after Warning of the patient

26
Q

Warning of the patient in Management of epididymal cysts causing discomfort in TREATMENT of Epididymal Cysts

A

The patient must be warned that excision may interfere with the export of sperms from the testes on the affected side.

27
Q

Spermatocele

A
  1. ETIOLOGY
  2. PATHOLOGY
  3. CLINICAL PICTURE
  4. TREATMENT
28
Q

ETIOLOGY of Spermatocele

A

It is a retention cyst derived from the tubules of the vasa efferentia

29
Q

PATHOLOGY of Spermatocele

A
  1. It is uni-locular

2. Contains spermatozoa which make the fluid resembles barley water in appearance

30
Q

Meaning of barley water in appearance in PATHOLOGY of Spermatocele

A

Make it dimly transulent

31
Q

CLINICAL PICTURE of Spermatocele

A
  1. Symptoms

2. Examination

32
Q

Symptoms in CLINICAL PICTURE of Spermatocele

A
  1. a painless small scrotal swelling

or

  1. Sometimes very large & the patient thinks that he has a third testis
33
Q

Examination in CLINICAL PICTURE of Spermatocele

A

As epididymal cyst but :

  1. It is dimly translucent
  2. It is uni-locular.
34
Q

TREATMENT of Spermatocele

A

Management of

  1. Small spermatocele
  2. Large spermatocele causing discomfort
35
Q

Management of Small spermatocele in TREATMENT of Spermatocele

A

Can be ignored.

36
Q

Management of Large spermatocele in TREATMENT of Spermatocele

A

Excision after Warning of the patient

37
Q

Warning of the patient in Management of Large spermatocele in TREATMENT of Spermatocele

A

The patient must be warned that excision may interfere with the export of sperms from the testes on the affected side.

Surgery.(General 1).Scrotum (8 decks)

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