Messina Mario, Fusi Giulia, Ferrara Francesco, Bindi Edoardo, Pellegrino Chiara, Molinaro Francesco, Angotti Rossella
Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena.
Pediatr Med Chir. 2019 Jun 21;41(1). doi: 10.4081/pmc.2019.210.
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.
附睾囊肿扭转是儿童和年轻男性急性阴囊的极其罕见的病因。其报告发病率为5%-20%。治疗通常是保守的。许多病例（高达60%）会自发消退，尤其是囊肿小于3厘米时。文献中报道的病例很少（2018年有7例）。我们补充了我们的患者作为第八例。他是一名13岁男孩，因急性阴囊入院。超声排除了睾丸扭转，对他进行了5天的保守治疗。根据临床病史和体格检查，我们决定立即进行手术，术中发现附睾囊肿扭转，组织学检查证实了这一诊断。
