We present a case of a 63 years old patient who presented with a slow-growing, painless testicular swelling clinically diagnosed as a hydrocele. The patient underwent elective hydrocele repair, where it became apparent that the diagnosis of a hydrocele was incorrect. On incision of the presumed hydrocele sac, a caseous material was encountered and no obvious healthy testicle was apparent. An orchidectomy was performed and pathological assessment revealed the lesion to be an epidermoid cyst; a

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... re benign lesion of the testicle that clinicians should consider when assessing scrotal swellings.