Incidental finding of Cowper's syringocele in traumatic blunt injury: a case report.

J Surg Case Rep

Division of Trauma and Acute Care Surgery, Department of Surgery, Kern Medical Center, 1700 Mount Vernon Avenue, Bakersfield, CA 93306, United States.

Published: April 2024

AI Article Synopsis

  • Cowper's syringocele is a rare cystic enlargement of the bulbourethral duct or gland, historically seen mainly in children but now increasingly diagnosed in adults.
  • Efforts to classify these syringoceles by their imaging and endoscopic appearance might be less effective than a simpler classification based on whether they are obstructed or unobstructed, which could aid in treatment.
  • A new case of Cowper's syringocele in an adult suggests that it might be underdiagnosed and proposes that external pressure could cause intermittent blockage, leading to this cystic dilation without symptoms.

Article 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11052592PMC
http://dx.doi.org/10.1093/jscr/rjae250DOI Listing

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