Descending colon adenocarcinoma with spermatic cord
metastasis: Report of two cases and review of the literature.
Using tiny incisions in the abdominal wall, the abdominal cavity is inflated with carbon dioxide, the affected spermatic cord
is located internally with a laparoscopic lens and camera, and it is dissected free from the surrounding tissues and divided.
We have selected this model of spermatic cord
torsion to produce testicular IR injury based on the earlier reports and we are convinced that this method simulates the true clinical IR injury.
Benign masses of the spermatic cord
can be excised with preservation of the testis.
A hydrocele can occur anywhere along the spermatic cord
and can simulate a hernia or a tumor of the cord.
Magnetic resonance imaging of the abdomen and pelvis demonstrated dilated, thick-walled, thrombosed testicular vein with increased intraluminal signaling in the right spermatic cord
in axial T1A-weighted fat-suppressed images, with normal other organ findings (Fig.
11) A normal inguinal canal contains the ilioinguinal nerve as well as the spermatic cord
in men and the round ligament of the uterus in women.
Besides the epididymis, adenomatoid tumor can be located in the spermatic cord
, prostrate, ejaculatory ducts and scrotal capes and in females it can be located in uterus, fallopian tubes and ovaries (6).
Locally there may be a spread to the epididymis, spermatic cord
, and scrotal skin, sometimes with sharp scrotal pain.
Clinical categorization of scrotal masses according to anatomic location and clinical findings Testicular Testicular Extratesticular Extratesticular painful masses painless painful masses painless masses masses Torsion of Malignant Epididymitis Hernia spermatic cord
testicular tumors Orchitis Benign Torsion of Hydrocele, testicular appendix testis hematocele tumors Testicular trauma In utero Torsion of Adenomatoid (rupture, extravaginal epididymis epididymis hematoma) torsion tumor Hemorrage into Incarcerated Soft tissue tumor hernia tumors Benign or malignant Kawasaki disease Idiopathic scrotal edema Henoch-Schonlein purpura
The neck of this runs along a structure in both the testes called the spermatic cord
and opens into the abdomen.
It is most common in males over 50 years of age and occurs in the retroperitoneum,  followed by deep soft tissues of thighs, neck and head region, trunk, mediastinum and the spermatic cord
Primary paratesticular tumours are very rare and the spermatic cord
(SCT) is the most frequent site of origin (over 75%).
Varicoceles are normally diagnosed by physical examination through palpation of spermatic cord
The testicular arteries, as well as the pampiniform plexus, nerves, and lymphatics, converge within the spermatic cord
and course toward the tunica albuginea.