# Chronic Inflammatory Tunica Vaginalis Masses With Haemorrhagic Hydrocoele Fluid: A Rare Finding in a Patient With Vaginal Hydrocoele

## TL;DR

A rare case of chronic inflammatory tunica vaginalis masses with blood-filled fluid was found in a man with a painless scrotal swelling.

## Contribution

This case highlights the rare occurrence of chronic inflammatory tunica vaginalis masses with haemorrhagic hydrocele fluid.

## Key findings

- The patient had a painless scrotal swelling with chronic inflammatory tunica vaginalis masses.
- Histopathology confirmed the diagnosis after surgical intervention.
- The case adds to the differential diagnosis for paratesticular masses.

## Abstract

Tunica vaginalis masses are a part of the paratesticular masses, which are rare. The combination of the finding of tunica vaginalis masses with haemorrhagic hydrocele fluid will make for a high index of suspicion of a mitotic lesion. Most reported cases of tunica vaginalis masses are mesotheliomas, most of which present as painless scrotal swellings with hydrocele.

Our patient is a 58-year-old man who presented with a painless swelling involving the left hemiscrotum, in which the histopathological findings following surgery turned out to be chronic inflammatory tunica vaginalis masses.

Chronic Inflammatory tunica vaginalis masses, even though rare, should be borne in mind when thinking of possible differential diagnosis in a patient with painless scrotal swelling.