Clinical diagnosis of encysted hydrocoeles in Ghanaian primary care facilities, how far is this correct? A description of three cases in primary care.

An encysted hydrocoele is thought to be rare and mimics other common groin tumors. We report three cases in a primary care setting. The first, a 16-year male who reported a left groin swelling he noticed over the last 8 months. The second and third are a 7-year-old and a 4-year-old who each presented with left groin swellings noticed since birth. A discussion of the literature is done and stresses the need for primary care practitioners to consider a possible clinical diagnosis of encysted spermatic cord hydrocoeles in new onset groin swellings in teenagers and children, as they may not be so rare.