Spermatic Cord Metastasis of Esophageal Cancer, Mimicking as an Incarcerated Hernia / 대한비뇨기과학회지

Metastatic cancers in the spermatic cord are extremely rare. A 79-year-old man, who had undergone palliative chemotherapy and radiotherapy one year previously, due to inoperable esophageal cancer, visited our hospital suffering from right inguinal swelling. Ultrasonography showed echogenic lesions superior to the right testis, suspicious of a swollen bowel loop. An emergency exploration revealed no bowel content or mesentery, but with thickened of the spermatic cord and epididymis four times that of the contralateral side. Pathology confirmed a metastatic carcinoma, likely to have originated from the esophagus.

Laparoscopic Excision of a Retroperitoneal Cystic Lymphangioma Encasing the Renal Vessels / 대한비뇨기과학회지

A 55-year-old woman, with a retroperitoneal cystic mass, incidentally found during evaluation for the cause of right upper quadrant pain, was referred to our hospital from a local clinic. Computed tomography, performed at our hospital, revealed a multilobulated cystic lesion in the right perinephric space, encasing the renal vessels, suggestive of a cystic lymphangioma. A cystic abdominal lymphangioma is a rare tumor in adults, which is difficult to diagnose preoperatively. Surgical excision is known as the treatment of choice; however, only three cases of laparoscopic excision have been reported. We report a case of a successful laparoscopic excision of a retroperitoneal cystic lymphangioma encasing the renal vessels of the renal hilum.