Case presentation A 5-year-old boy presented to the urology department with a complaint of a lump in the right inguinal region. He had no complaints of tenderness, bowel obstruction, or infection. The patient‘s birth history was normal. Examination : Abdomen — Soft, non-distended, and not tender Normal bowel sounds A firm mass of around 3 cm in diameter was identified in the right inguinal region.
The transillumination test was positive. Cough impulse — Negative Manual reduction of the mass was not successful Testes — Bilaterally descended and non-tender to touch Inguinal ultrasound — Anechoic cystic lesion— 27 mm x 10 mm x 22 mm Surgical exploration findings The mass was identified near the external inguinal ring near the spermatic cord and was successfully excised ( Figure 1 ). Histopathological examination— Mesothelium lining around a thin layer of dense collagenous tissue comprising…
