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

  • Mario Messina Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
  • Giulia Fusi Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
  • Francesco Ferrara Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
  • Edoardo Bindi Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
  • Chiara Pellegrino Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
  • Francesco Molinaro Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
  • Rossella Angotti | rossellaangotti@me.com Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.

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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Published
2019-06-21
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Section
Case Reports
Keywords:
Acute scrotum, Child, Epididymal cyst
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How to Cite
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