Parasitised Large Intestinal Diverticulum of the Spermatic Cord
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We present a 70-year-old male patient with an unusual incidental finding at an elective repair of an indirect left inguinal hernia (LIH). A black nodule resembling a melanoma metastasis in a lymph node was discovered attached to the spermatic cord. There was no contiguity with the large bowel on the same side. Histological examination showed an isolated, detached colonic diverticulum containing a faecolith. We postulate derivation from an incarcerated colonic diverticulum that became 'parasitised' onto the spermatic cord.
Dagur G, Gandhi J, Kapadia K, Inam R, Smith N, Joshi G Transl Androl Urol. 2017; 6(1):101-110.
PMID: 28217455 PMC: 5313312. DOI: 10.21037/tau.2017.01.04.