Ozaal A M Omar Mohamed, Pragalathan B, Lavanya S, Sarma S T
General Surgery, University Surgical Unit, Teaching Hospital Jaffna, Sri Lanka.
University Surgical Unit, Teaching Hospital Jaffna, Sri Lanka.
Case Rep Urol. 2020 Nov 22;2020:8858606. doi: 10.1155/2020/8858606. eCollection 2020.
Torsion of epididymal cyst (EC) is an exceedingly rare cause of acute scrotum in both children and adults. We add our case as the ninth case to literature which was an 8-year-old child presented with features of acute scrotum with history of EC on conservative management. Doppler sonography showed perfused normal bilateral testes and a 4.1 × 1.7 cm septate cystic lesion of right epididymis. On scrotal exploration, we found a haemorrhagic cystic lesion attached to the upper pole of right testis and twisted for 540 degrees with normal testis and appendage. Cyst was excised, and histopathology revealed a haemorrhagic EC. Our case was peculiar due to, presenting as acute scrotum in a child of 1-10 years age group who was conservatively managed for right-sided EC and presence of 540 degrees torsion.
附睾囊肿扭转是儿童和成人急性阴囊极为罕见的病因。我们将我们的病例作为文献中的第九例进行报道，该病例为一名8岁儿童，有急性阴囊表现，曾对右侧附睾囊肿进行保守治疗。多普勒超声显示双侧睾丸血供正常，右侧附睾有一个4.1×1.7厘米的分隔囊性病变。阴囊探查时，我们发现一个出血性囊性病变附着于右侧睾丸上极，扭转540度，睾丸和附件正常。囊肿被切除，组织病理学显示为出血性附睾囊肿。我们的病例很特殊，因为它发生在1至10岁年龄组的儿童身上，表现为急性阴囊，此前曾对右侧附睾囊肿进行保守治疗，且存在540度扭转。
