: Torsion of an epididymal cyst is an extremely rare cause of acute scrotum in children and in young boys. Its reported incidence is 5-20%. The treatment is usually conservative. Many cases (up to 60%) regress spontaneously, especially if below 3 cm. Few cases have been reported in Literature (7 cases/2018). We add our patient as eighth case. He was a 13-year-old boy who was admitted for acute scrotum. Ultrasound excluded torsion of the testis and he was managed for 5 day conservatively. Based on clinical history and physical exam, we decided to perform a prompt surgery that revealed a torsion of epididymal cyst that was confirmed by histological exam.
Messina, M., Fusi, G., Ferrara, F., Bindi, E., Pellegrino, C., Molinaro, F., et al. (2019). A rare cause of acute scrotum in a child: torsion of an epididymal cyst. Case report and review of the literature. PEDIATRIA MEDICA E CHIRURGICA, 41(1) [10.4081/pmc.2019.210].
A rare cause of acute scrotum in a child: torsion of an epididymal cyst. Case report and review of the literature
Messina, Mario;Pellegrino, Chiara;Molinaro, Francesco;Angotti, Rossella
2019-01-01
Abstract
: Torsion of an epididymal cyst is an extremely rare cause of acute scrotum in children and in young boys. Its reported incidence is 5-20%. The treatment is usually conservative. Many cases (up to 60%) regress spontaneously, especially if below 3 cm. Few cases have been reported in Literature (7 cases/2018). We add our patient as eighth case. He was a 13-year-old boy who was admitted for acute scrotum. Ultrasound excluded torsion of the testis and he was managed for 5 day conservatively. Based on clinical history and physical exam, we decided to perform a prompt surgery that revealed a torsion of epididymal cyst that was confirmed by histological exam.
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https://hdl.handle.net/11365/1225104
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