A 14-Year-Old Boy with Torsion of the Epididymal Cyst

Ameli, Mojtaba; Boroumand-Noughabi, Samaneh; Gholami-Mahtaj, Leila

doi:10.1155/2015/731987

Cited by 7 publications

(15 citation statements)

References 3 publications

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“…Erikci et al [ 1 ] also have reported a case of EC torsion in an 11-year-old boy who was put on conservative management for an EC [ 1 ]. Presentation with features of acute scrotum such as pain and swelling was similar among all reported cases [ 1 , 3 – 5 ]. Management of an EC is usually conservative as 60% of the cases regress on its own more importantly if less than 3 cm in size [ 2 ].…”

Section: Discussionsupporting

confidence: 70%

“…Intraoperative finding of a twisted haemorrhagic cystic lesion arising from the epididymal location of the right testis attached to its upper pole, confirmed the diagnosis of a torsed EC and led us to carry out excision. The twist was 540 degrees, whereas in the literature, it ranged from 360 to 720 degrees [ 1 , 3 – 5 ]. In line with majority of the literature, there was no associated prior scrotal trauma.…”

Section: Discussionmentioning

confidence: 99%

“…Torsion of EC is rare and a scarce finding on scrotal exploration for acute scrotum. There were eight paediatric cases reported in the literature ( Table 1 ), and among them, seven cases were all adolescents, and one was an infant [ 1 , 3 – 5 ]. Our patient is an 8-year-old child and the first case of EC torsion in this age group to be reported and added as the ninth case to the literature.…”

Section: Introductionmentioning

confidence: 99%

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Torsion of an Epididymal Cyst: A Rare Finding on Scrotal Exploration for Acute Scrotum

Ozaal

Pragalathan

Lavanya

et al. 2020

Case Reports in Urology

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Torsion of epididymal cyst (EC) is an exceedingly rare cause of acute scrotum in both children and adults. We add our case as the ninth case to literature which was an 8-year-old child presented with features of acute scrotum with history of EC on conservative management. Doppler sonography showed perfused normal bilateral testes and a 4.1 × 1.7 cm septate cystic lesion of right epididymis. On scrotal exploration, we found a haemorrhagic cystic lesion attached to the upper pole of right testis and twisted for 540 degrees with normal testis and appendage. Cyst was excised, and histopathology revealed a haemorrhagic EC. Our case was peculiar due to, presenting as acute scrotum in a child of 1-10 years age group who was conservatively managed for right-sided EC and presence of 540 degrees torsion.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Torsion of an Epididymal Cyst: A Rare Finding on Scrotal Exploration for Acute Scrotum

Ozaal

Pragalathan

Lavanya

et al. 2020

Case Reports in Urology

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“…Nevertheless, another diagnosis that should be considered in such patients is torsion of the spermatocele; although very rare, few cases have been reported in the literature. 11,12 …”

Section: Discussionmentioning

confidence: 99%

A 40-year-old man with testicular torsion and large bilateral spermatoceles

Ameli

Parsapour

Gholami-Mahtaj

2016

Qatar Medical Journal

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Testicular torsion is a rare disease that mostly involves children. Peak incidence is in infancy and in adolescence. Testicular torsion is rarely seen in men over 40 years of age and has only once been accompanied with spermatocele. We report the case of a 40-year-old man with testicular pain one day prior to visiting our clinic. The patient's visit to the clinic was delayed due to history of occasional testicular pain related to his bilateral spermatoceles. On arrival, a color Doppler ultrasound test was performed, which revealed heterogeneous echo in the right testis with no vascular flow, suggestive of torsion, as well as two cystic lesions in the right and left scrotums indicating spermatoceles. The patient was immediately transferred to the operating room where the bilateral spermatoceles were resected and after detorting, the right testis was saved. After four months, a normal left testis along with partial right testicular atrophy was observed. It is highly recommended to educate patients with spermatocele who have no indication for surgical treatment to visit their physician in case any new testicular pain is experienced. Furthermore, testicular pain regardless of the co-existing pathology may always be treated as an indicator of suspected torsion.

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“…An EC torsion is extremely rare especially in young boys and to the best of our knowledge only 6 cases have been reported in literature. 3 …”

Section: Introductionmentioning

confidence: 99%

Torsion of huge epididymal cyst in a 16-year-old boy: case report and review of the literature

Bleve¹,

Conighi²,

Bucci³

et al. 2018

Pediatr Med Chir

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Epididymal cysts (ECs) are relatively common in adults, rare in children. Normally their treatment is conservative. They may be situated anywhere in the organ, frequently in the region of the head. Torsion of these cysts is extremely rare in both children and adults, causing acute scrotal swelling. The diagnosis is intraoperative. A 16-year-old boy was referred to our Divisional Clinic by the treating physician for scrotal swelling appeared 4 months earlier.Absence of a history of minor scrotal trauma. Ultrasonography showed a 40×50 mm fluid-filled right para-testicular mass. We performed surgery finding a large black cyst connected to the head of the epididymis with 720°-degrees rotation. Histology revealed an acquired EC. The particularity of our case is due to the absence of symptoms in association with a big EC twisted of 720° degrees. This is the only case reported in literature. All patients with EC torsion reported presented symptoms related to acute scrotum. IntroductionEpididymal cysts (ECs) is a benign mass that usually develop in adult men, but it is rare in children, with a prevalence of 5-20% according to varying series reported in the literature. 1 They present as single or multiple, uni-or bi-lateral spherical cysts localized most frequently in the head of the epididymis. Although the cause of EC and spermatocele is often unknown, it may be caused by epididymal ducts obstruction. They are usually of lymphatic origin. When small, ECs remain undetected and can be found in approximately 30% of asymptomatic patients having scrotal ultrasound for other reasons. On the contrary to adolescent in adults most of these cysts are spermatocele. 2 With a certain diagnosis (ultrasound), their treatment is conservative under elective condition. Rarely, as result of trauma or torsion of these cysts, exploration of the scrotum is required to rule out other pathologies such as testicular torsion. An EC torsion is extremely rare especially in young boys and to the best of our knowledge only 6 cases have been reported in literature. 3 Case ReportThe treating physician has referred a 16-year-old boy to our Service for right scrotal swelling appeared 4 months before. The patient reported the absence of a history of minor scrotal trauma. He had no fever or urinary symptoms. Physical examination demonstrated left scrotal region and left testis normal. On the right side, tenderness and swelling of the right hemiscrotum; the testis was appreciated of regular consistency, with vague margins, located on the inferior-posterior area. Superiorly was appreciated an elastic area as loculated hydrocele. No pain on palpation. At the lower pole of the testis was appreciable a hard consistency area, 1 cm in length, painless. Abdominal examination was unremarkable. The inguinal canal was not engaged. Routine hematology, serum biochemistry, and urine analysis were normal. Color-Doppler-Ultrasonography showed both testes with normal parenchymal architecture and echogenicity with no perfusion defect as the left epididymis. On the...

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A 14-Year-Old Boy with Torsion of the Epididymal Cyst

Cited by 7 publications

References 3 publications

Torsion of an Epididymal Cyst: A Rare Finding on Scrotal Exploration for Acute Scrotum

Torsion of an Epididymal Cyst: A Rare Finding on Scrotal Exploration for Acute Scrotum

A 40-year-old man with testicular torsion and large bilateral spermatoceles

Torsion of huge epididymal cyst in a 16-year-old boy: case report and review of the literature

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