DD of scrotal swelling

DD of scrotal swelling

- on the scrotum  sbaceous cyst

- in the scrotum :
A- extend above the scrotum  hernia

B- soft
- Varicocele:
 in 25% of normal population
 rarely in renal neoplasm spreading in the left renal vein
- epididymal cyst (spermatocele).
- Hematocele (collection of blood withing the tunica vaginalis)
- hydrocele:
 primary  idiopathic
 secondary  (trauma, epididymo-orchitis, tumor, lymphatic obstruction)

C- hard + painless
- Tumor :
 Teratomas (a malignanat germ cell tumor)
 seminoma (carcinoma of seminiferous tubules)
- Lymphadenopathy.
- Syphilis (gumma, billiardo ball testis).
- Tuberculosis.
- Hematoma.

D- painful
- Torsion of testis.
- Torsion of hydatid morgagni.
- Epididymitis (associated with UTI).
- Orchitis:
 viral (mumps, glandular fever)
 bacterial (coliform, Chlamydia)
- Sperm granuloma (after vasectomy).