Parasitised large intestinal diverticulum of the spermatic cord. (9th October 2014)

• Record Type: Journal Article
• Authors: Grigor, Thomas; Ahmad, Sheikh
• Is Part Of: BMJ case reports. Volume 2014
• Publication Date: 2014-10-09
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2014-206115
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : 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.