Bilateral epididymal cyst with spontaneous resolution

Mukendi, Alain Mwamba

doi:10.1002/ccr3.3199

Cited by 6 publications

(4 citation statements)

References 7 publications

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“…Messina et al observe that up to 60% of IEC regress spontaneously if below 3 cm in diameter [1]. According to Mukendi spontaneous resolution may occur with no need for surgical excision of cysts and can take up to 50 months: the average time to complete involution varies from 4 to 50 months [11]. In our cases, the indication for surgical treatment was the persistent symptomatology of painful hemiscrotum.…”

Section: Discussionmentioning

confidence: 55%

Symptomatic Intraparenchymal Epididymal Cysts: Description of 11 cases

Schoina,

Gkalonaki,

Trevlias

et al. 2024

Folia Medica Cracoviensia

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Epididymal cysts are benign cystic formations of the epididymis that usually appear in adoles-cence or early adulthood. Their frequency doubles after the age of 14–15. Obstruction in the epididymal efferent ductules with subsequent prostenotic dilatation of them, as well as dysgenesis due to hormonal disorders during fetal or postnatal life, are possible. At the 1st Department of Pediatric Surgery of A.U.Th. we treated 11 cases of boys at the age of 11–16 who presented with acute scrotum because of an epididymal cyst. The diagnosis was confirmed by ultrasound scanning . Due to persistent symptomatology, patients underwent surgical exploration and removal of the cyst. The postoperative care of the patients was uncomplicated with immediate remission of symptoms. In one case, ipsilateral acute epididymitis oc-curred after 10 days, which was successfully treated with antibiotic therapy. It is reported that approxi-mately 50% of epididymal cysts involute within an average of 17 months. In conclusion, using the data obtained from the review ,of the small in number of international bibliography studies, it is proposed conservative treatment of asymptomatic cysts with diameter smaller than 1 cm and surgical excision [1] of large asymptomatic cysts with diameter greater than 1 cm, which do not regress after a follow-up of 24–48 months, cysts, regardless of their diameter, responsible for persistent symptoms and in the manifestation of acute scrotal symptoms due to inflammation, intravesical bleeding or secondarily torsion of the epi-didymis.

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Section: Discussionmentioning

confidence: 55%

Symptomatic Intraparenchymal Epididymal Cysts: Description of 11 cases

Schoina,

Gkalonaki,

Trevlias

et al. 2024

Folia Medica Cracoviensia

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“…A patient may narrate scrotal swellings as a third testicle. They may also present with testicular pain or orchialgia [ 10 ]. On clinical examination, the epididymal cyst is palpated as an extra testicular mass, usually smooth, round, and characteristically located adjacent to the testis [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic Bilateral Giant Multilocular Epididymal Cyst in a Middle-Aged Patient

Gupta¹,

Shinde²,

Rathod³

et al. 2022

Cureus

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Bilateral multilocular huge epididymal cysts are a rare entity with few reports in the literature. Epididymal cysts are mostly found in middle-aged men with or without symptoms. We present the case of a 45-year-old man with asymptomatic bilateral scrotal swelling, which was clinically diagnosed as a right epididymal cyst with left hydrocele. However, an ultrasound of the scrotum revealed bilateral epididymal cysts with normal testes. Intraoperatively, it demonstrated bilateral huge epididymal cysts for which the patient underwent excision of bilateral epididymal cysts. Postoperatively, the patient is doing well on follow-up. Thus, it is concluded that when the epididymal cyst is larger than 10 mm or 1 cm and does not involute with time, surgery is indicated. In comparison, epididymal cysts smaller than 10 mm or 1 cm are managed conservatively.

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“…These cysts have historically intrigued and challenged the medical community, from their first documentation in the late 18th century to the refined understandings of the modern era. While typically innocuous, the impact of these cysts on patient well-being can be significant, particularly when they manifest in conspicuous or symptomatic forms [1], [2]. The presentation of an epididymal cyst can vary widely, often depending on the size and location of the cyst within the scrotum.…”

Section: Introductionmentioning

confidence: 99%

Large Epididymal Cyst: A Tale of Three Testes

Arora,

Akami,

Kapur

et al. 2024

IJM

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Background: An epididymal cyst is a benign cystic structure that develops from the epididymis, typically due to a blockage in the epididymis, resulting in fluid accumulation. These cysts are generally harmless and noncancerous. Case Presentation: We examine the case of a 30-year-old male referred by the Psychiatry department for an assessment of the inguinal scrotal region, due to his belief that he had three testicles. Physical examination revealed an extratesticular, fluctuant, and cystic swelling easily palpable and distinct from the body of the left testis. Ultrasound findings showed a 2.3 x 1.7 cm fluid-filled lesion at the head of the epididymis. Intervention: Following a psychiatric evaluation, the patient underwent surgical excision of the cyst. Conclusion: The histopathological examination of the surgically removed cyst confirmed the diagnosis of an epididymal cyst, underscoring the importance of considering such benign conditions in differential diagnoses of scrotal abnormalities.

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Bilateral epididymal cyst with spontaneous resolution

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 6 publications

References 7 publications

Symptomatic Intraparenchymal Epididymal Cysts: Description of 11 cases

Symptomatic Intraparenchymal Epididymal Cysts: Description of 11 cases

Asymptomatic Bilateral Giant Multilocular Epididymal Cyst in a Middle-Aged Patient

Large Epididymal Cyst: A Tale of Three Testes

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