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. 2019;41(1) DOI 10.4081/pmc.2019.210

 

Journal Homepage

Journal Title: La Pediatria Medica e Chirurgica

ISSN: 0391-5387 (Print); 2420-7748 (Online)

Publisher: PAGEPress Publications

LCC Subject Category: Medicine: Pediatrics | Medicine: Surgery

Country of publisher: Italy

Language of fulltext: Italian, English

Full-text formats available: PDF, XML

 

AUTHORS

Mario Messina (Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena)
Giulia Fusi (Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena)
Francesco Ferrara (Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena)
Edoardo Bindi (Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena)
Chiara Pellegrino (Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena)
Francesco Molinaro (Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena)
Rossella Angotti (Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena)

EDITORIAL INFORMATION

Blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 10 weeks

 

Abstract | Full Text

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.