Not a Hydrocele!

An 11-month-old boy presented with a painless right scrotal swelling that was gradually increasing in size since birth. On examination, the swelling was scrotal, cystic, and transilluminant (Figure 1). There was no change in size of swelling on crying. An ultrasound showed a cystic mass 10 × 8 cm with multiple septae and lobulations suggestive of a lymphangioma. On excision, the lymphangioma appeared to be associated with the gubernaculum of the right testis, although the body of the testis was characteristically uninvolved.

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