A rare cause of acute scrotum in a child: torsion of an epididymal cyst. Case report and review of the literature

Submitted: 19 February 2019
Accepted: 3 June 2019
Published: 21 June 2019
Abstract Views: 2119
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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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Messina, M., Fusi, G., Ferrara, F., Bindi, E., Pellegrino, C., Molinaro, F., & Angotti, R. (2019). A rare cause of acute scrotum in a child: torsion of an epididymal cyst. Case report and review of the literature. La Pediatria Medica E Chirurgica, 41(1). https://doi.org/10.4081/pmc.2019.210

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