Tunica vaginalis cyst

Tunica vaginalis cyst is a type of benign paratesticular cystic lesion. It is a cyst that arises from the tunica vaginalis and, in conjunction with tunica albuginea cysts, they are collectively termed scrotal tunica cysts.

Pathology

Their exact cause is unknown, although history of trauma, hemorrhage and/or infection may be present.

On microscopic analysis, they are lined by non-ciliated cuboidal cells, and they contain serous fluid and cellular debris.

Radiographic features

Scrotal ultrasound

They are typically seen as a small (2-5 mm) anechoic uni-or multilocular cystic lesion within the layers of the tunica vaginalis. Larger cysts can cause compression the testicular parenchyma and simulate an intratesticular lesion. Some cysts may have low-level echoes and/or calcification.

Differential diagnosis

For ultrasound appearances consider

See also