Section Editor: Dharam M. Ramnani, MD

Virginia Urology, Richmond, VA, USA

Image 42 of 61



Image Description

This elderly patient presented with progressive enlargement of right hemiscrotum and was found to have a large hydrocele. The cyst wall is thickened and shows fibrinous adhesions on its outer surface. Histology (shown in next several images) revealed acute and chronic inflammation, cholesterol clefts, foreign body giant cell reaction, and fibrosis.

Image 42 of 61