# Incidental finding of Cowper’s syringocele in traumatic blunt injury: a case report

## TL;DR

A rare case of Cowper’s syringocele in an adult is reported, suggesting it may be underdiagnosed and possibly caused by external force.

## Contribution

A novel case supports underdiagnosis and proposes an acquired etiology involving external force-induced obstruction.

## Key findings

- Cowper’s syringocele was found in an adult due to traumatic blunt injury.
- The case suggests incomplete or intermittent obstruction may cause asymptomatic dilation.
- This highlights the potential for underdiagnosis in adults.

## Abstract

Cowper’s syringocele is a cystic dilation of the bulbourethral duct or gland. This rare pathology has historically been diagnosed in the pediatric population, with recent literature reporting an increased incidence in adults. Attempts have been made to classify Cowper’s syringoceles by their appearance on imaging and endoscopy, however a simpler classification of unobstructed versus obstructed may be of more utility in directing management. Herein, we present a novel case of a Cowper’s syringocele developed in adulthood that supports the suspicion for underdiagnosis, as well as one proposed mechanism of acquired etiology of Cowper’s syringoceles involving incomplete or intermittent obstruction secondary to the application of external force of the leading to asymptomatic cystic dilation.