Torsion of an Epididymal Cyst: A Rare Finding on Scrotal Exploration for Acute Scrotum

Torsion of epididymal cyst (EC) is an exceedingly rare cause of acute scrotum in both children and adults. We add our case as the ninth case to literature which was an 8-year-old child presented with features of acute scrotum with history of EC on conservative management. Doppler sonography showed p...

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Main Authors: A. M. Omar Mohamed Ozaal, B. Pragalathan, S. Lavanya, S. T. Sarma
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2020/8858606
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author A. M. Omar Mohamed Ozaal
B. Pragalathan
S. Lavanya
S. T. Sarma
author_facet A. M. Omar Mohamed Ozaal
B. Pragalathan
S. Lavanya
S. T. Sarma
author_sort A. M. Omar Mohamed Ozaal
collection DOAJ
description Torsion of epididymal cyst (EC) is an exceedingly rare cause of acute scrotum in both children and adults. We add our case as the ninth case to literature which was an 8-year-old child presented with features of acute scrotum with history of EC on conservative management. Doppler sonography showed perfused normal bilateral testes and a 4.1×1.7  cm septate cystic lesion of right epididymis. On scrotal exploration, we found a haemorrhagic cystic lesion attached to the upper pole of right testis and twisted for 540 degrees with normal testis and appendage. Cyst was excised, and histopathology revealed a haemorrhagic EC. Our case was peculiar due to, presenting as acute scrotum in a child of 1-10 years age group who was conservatively managed for right-sided EC and presence of 540 degrees torsion.
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institution Kabale University
issn 2090-696X
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language English
publishDate 2020-01-01
publisher Wiley
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series Case Reports in Urology
spelling doaj-art-516f737eea7f41d7ba1dbb93da7cd0d32025-02-03T01:28:29ZengWileyCase Reports in Urology2090-696X2090-69782020-01-01202010.1155/2020/88586068858606Torsion of an Epididymal Cyst: A Rare Finding on Scrotal Exploration for Acute ScrotumA. M. Omar Mohamed Ozaal0B. Pragalathan1S. Lavanya2S. T. Sarma3General Surgery, University Surgical Unit, Teaching Hospital Jaffna, Sri LankaGeneral Surgery, University Surgical Unit, Teaching Hospital Jaffna, Sri LankaGeneral Surgery, University Surgical Unit, Teaching Hospital Jaffna, Sri LankaUniversity Surgical Unit, Teaching Hospital Jaffna, Sri LankaTorsion of epididymal cyst (EC) is an exceedingly rare cause of acute scrotum in both children and adults. We add our case as the ninth case to literature which was an 8-year-old child presented with features of acute scrotum with history of EC on conservative management. Doppler sonography showed perfused normal bilateral testes and a 4.1×1.7  cm septate cystic lesion of right epididymis. On scrotal exploration, we found a haemorrhagic cystic lesion attached to the upper pole of right testis and twisted for 540 degrees with normal testis and appendage. Cyst was excised, and histopathology revealed a haemorrhagic EC. Our case was peculiar due to, presenting as acute scrotum in a child of 1-10 years age group who was conservatively managed for right-sided EC and presence of 540 degrees torsion.http://dx.doi.org/10.1155/2020/8858606
spellingShingle A. M. Omar Mohamed Ozaal
B. Pragalathan
S. Lavanya
S. T. Sarma
Torsion of an Epididymal Cyst: A Rare Finding on Scrotal Exploration for Acute Scrotum
Case Reports in Urology
title Torsion of an Epididymal Cyst: A Rare Finding on Scrotal Exploration for Acute Scrotum
title_full Torsion of an Epididymal Cyst: A Rare Finding on Scrotal Exploration for Acute Scrotum
title_fullStr Torsion of an Epididymal Cyst: A Rare Finding on Scrotal Exploration for Acute Scrotum
title_full_unstemmed Torsion of an Epididymal Cyst: A Rare Finding on Scrotal Exploration for Acute Scrotum
title_short Torsion of an Epididymal Cyst: A Rare Finding on Scrotal Exploration for Acute Scrotum
title_sort torsion of an epididymal cyst a rare finding on scrotal exploration for acute scrotum
url http://dx.doi.org/10.1155/2020/8858606
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AT slavanya torsionofanepididymalcystararefindingonscrotalexplorationforacutescrotum
AT stsarma torsionofanepididymalcystararefindingonscrotalexplorationforacutescrotum