Torsion of the epididymis

Untreated Isolated Torsion of the Epididymis in an Adolescent

“…It has been extremely rare reported in the literature. 1 , 2 , 3 , 4 , 5 A long and tortuous epididymis with a long mesorchium or epididymal-testicular dissociation was reported as an underlying anomaly in these cases. 3 , 4 Anomalies of the vas deferens and the epididymis result from anomalous development of mesonephric duct system and include separation of the vas and epididymis from the testis.…”

“…Compared to the normal population anomalous attachment of epididymis to the testis is more common in patients with undescended testis. 5 …”

“…In advanced stages of torsion, conventional ultrasound imaging shows inhomogeneities of the tissue and cystic necrosis areas. 2 , 4 , 5 Differential diagnosis of epididymal torsion includes epididymitis and epididymal tumors. Epididymitis may manifest with enlargement of the epididymis, hydrocele and scrotal wall thickening.…”

Acute Scrotum

“…Başka bir çalışmada da, inmemiş testisin yalnızca TT için değil, epididimis anomalisine neden olduğundan epididim torsiyonu için de önemli bir predispozisyon oluşturduğu belirtilmektedir (23) .…”

Anatomical variations in epididymal–testicular fusion in stallions and their possible clinical significance

“…In man, abnormal attachment of the epididymis to the testis, caused by incomplete epididymal–testicular fusion during fetal development, has been associated with cryptorchidism, testicular rotation, epididymal torsion and infertility . Over 50% of cryptorchid patients have anomalies of epididymal–testicular fusion, such as partial disconnection or complete separation of the epididymis from the testis .…”