Scrotal Hydrocele as the First Clinical Manifestation of Occult Gastric Cancer

ABSTRACT

We report a rare case of a metastatic tumor of the tunica vaginalis and epididymis with hydrocele from occult gastric cancer. A 72-year-old patient showed a painless scrotal swelling. Scrotal ultrasound showed a right hydrocele and a follow-up hydrocelectomy showed a mass on the epididymis. The operation was thus converted to radical orchiectomy. The tumor was revealed as an adenocarcinoma in the tunica vaginalis and epididymis. Abdominal computed tomography found gastric cancer, which was confirmed by a gastric fibroscopy biopsy. The patient was referred to the hemato-oncology department for chemotherapy but died after 3 months.