DOI: 10.36347/sjmcr.2015.v03i07.008

Pages: 583-584

Mesothelioma of the tunica vaginalis is a rare cancer most often diagnosed intra-operatively.This case reports a 72 year old gentleman who presented with a hydrocele and was later diagnosed with mesothelioma of the tunica vaginalis. Unfortunately, the cancer in this case followed an aggressive course and there was evidence of pulmonary involvement on interval CT scans which was in keeping with metastatic disease. As clinical guidelines have not yet been suggested, the authors add this case to the literature and repeat previous recommendations of early radical inguinal orchidectomy and strict follow up.