Untreated Isolated Torsion of the Epididymis in an Adolescent

Birkan, Zülfü; Kalaycı, Tuğçe Özlem; Karakeçi, Ahmet; Sönmezgöz, Fitnet; Albayrak, Eda; Bozdağ, Pınar Gündoğan

doi:10.1016/j.eucr.2015.11.006

Cited by 2 publications

(2 citation statements)

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“…Isolated torsion of the epididymal head is an uncommon cause of acute scrotal pain [1][2][3][4][5][6]. The most frequently used diagnostic techniques in patients with acute scrotum include B mode ultrasonography imaging and color Doppler with point spectral analysis of the intratesticular waveforms; they showed extremely high sensitivity in the diagnosis of testicular and epididymal torsion as well as in the differential diagnosis of torsion and acute inflammatory conditions.…”

Section: Discussionmentioning

confidence: 99%

“…Changes detected on ultrasonography were confirmed at surgery when isolated torsion of the epididymal head was diagnosed. Abnormal attachment of the epididymis is rare in patients with normally descended testicles [2]. In a surgical series, the epididymis was found either completely attached to the testis or attached at the level of the body and tail in 96.4% of cases, whereas attachment only at the level of head was seen in 2.7%, and nonfusion was seen in 0.9%; furthermore, attachment at the level of the epididymal head or at the tail only was found in 2.4% of cases in a group of fetuses who died from causes unrelated to the genital tract [3].…”

Section: Discussionmentioning

confidence: 99%

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Ultrasonographic findings of epididymal torsion in adults - a rare cause of acute scrotum

et al. 2021

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Introduction. Epididymal torsion is a rare cause of acute scrotum. Only a few cases have been described in the literature, and preoperative ultrasound diagnosis was done only in two cases. So far, according to our data, cases of epididymal torsion in adults have not previously been reported in the literature. Case Report. We report the case of a 39-year-old man, who was admitted to the hospital for pain in the left hemiscrotum lasting for three days. The physical examination revealed a swelling limited to the left hemiscrotum, so the patient was referred for an ultrasound examination with the diagnosis of epididymitis. The ultrasonography showed that the left epididymis was significantly enlarged in the head area with and heterogeneous structure of the parenchyma on a grayscale, without a significant Color Doppler signal. At the level of the neck and the body of the epididymis, there was a ?whirlpool sign? with a reactive hydrocele and edema of the left scrotum soft tissue that was highly suspicious for torsion of the epididymis. The patient underwent emergency surgery and epididymal torsion of about 540 degrees was confirmed intraoperatively. Conclusion. The torsion of the epididymis should be kept in mind in the differential diagnosis of acute scrotal pain in adults.

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