患者,男,50岁,农民,已婚,因左侧阴囊内中物3年而就诊。无疼痛,但每于久立或劳累后出现坠胀感,局部皮肤无红肿现象。近一年来肿物增长迅速,伴有局部坠胀、疼痛就诊。以左侧附睾精液囊肿,住院手术治疗。查体:一般情况尚好,阴囊不对称,左侧明显增大且下垂,左侧睾丸上方可触到一肿物约有5×5×4cm大小,张力不大,触之呈囊性感,表面光 Patient, male, 50 years old, farmer, married, treated for 3 years on the left scrotum. No pain, but after a long time or exertion bulging feeling, no swelling of the local skin phenomenon. The rapid growth of the past year, accompanied by partial bulge, pain treatment. To the left epididymal sperm cyst, hospitalized surgery. Physical examination: the general situation is good, asymmetric scrotum, left significantly increased and drooping, the top of the left testis can touch a tumor about 5 × 5 × 4cm size, tension is not, the contact was cystic sexy, the surface light