Indirect inguinal hernia with cord inside sac (Srinagar Hernia): Case report

INTRODUCTION: Giant epididymal or spermatic cyst, testis and cord as content of sac in an indirect hernia is very rare. PRESENTATION OF CASE: A 61 year old male with scrotal swelling was diagnosed as a case of giant epididymal cyst. Exploration documented giant epididymal cyst and an indirect inguinal hernia of complete type with the cord, testicle and epididymal cyst as a content of sac. Excision of epididymal cyst with placement of cord outside sac was done. This is the first kind of unique case report with new type of indirect hernia reported with cord as the content of sac named as "Srinagar Hernia". CONCLUSION: Giant epididymal cyst is rare. Cord inside sac of indirect hernia is to be made extrasacal to prevent recurrence. (C) 2019 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.