A few days ago I operated on a patient who had a vaginal hydrocele and an epididymal cyst. I did eversion of sac and exicission of cyst. But the epidymal cyst was mostly solid when it was cut and arouse suspicion. It was sent for biopsy. Patient developed moderate wound infection post operatively. biopsy report came as Koch's granulomatous lesion. I have not gone through literature yet. I do not expect to get much reference.
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