1. A rare cause of acute scrotum in a child: torsion of an epididymal cyst. Case report and review of the literature
- Author
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Francesco Ferrara, Giulia Fusi, Mario Messina, Edoardo Bindi, Francesco Molinaro, Chiara Pellegrino, and Rossella Angotti
- Subjects
Male ,medicine.medical_specialty ,Adolescent ,Acute scrotum ,lcsh:Surgery ,Epididymal cyst ,Clinical history ,Humans ,Spermatocele ,Medicine ,Child ,Spermatic Cord Torsion ,Ultrasonography ,business.industry ,Torsion (gastropod) ,lcsh:RJ1-570 ,lcsh:Pediatrics ,lcsh:RD1-811 ,medicine.disease ,Surgery ,Acute Disease ,Pediatrics, Perinatology and Child Health ,Scrotum ,Physical exam ,business - 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.
- Published
- 2019