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: 2067
PDF: 1001
HTML: 60
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

  • 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 Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.

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., & 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

Downloads

Download data is not yet available.

Citations