This case of encysted hydrocele of the spermatic cord presented as painful inguinal swelling.

This rare case was miss diagnosed as an incarcerated inguinal hernia.

Inguinal exploration revealed a straw-coloured fluid collection at the midpoint of the spermatic cord.

Highlighting the importance of performing a proper physical examination for groin swelling.

High suspicion is warranted for encysted cord hydrocele in cases of painful inguinoscrotal swellings.

The hydrocele of the spermatic cord is a rare anomaly, often presents as an inguinal swelling that extends to the upper scrotum. It can be encysted, funicular, or mixed. A 14-year-old male experienced painful swelling in his right groin for three weeks, which was confirmed intraoperatively to be an encysted hydrocele of the spermatic cord. The diagnosis for this condition is primarily clinical; ultrasound may also aid in confirmation. Conservative management is possible in early infancy, but surgical intervention is often necessary if the condition persists or presents late.

Encysted hydrocele

Spermatic cord

Hydrocelectomy

Herniotomy

Inguinal hernia

© 2025 The Authors. Published by Elsevier Inc.