Ilangovan Gurubharath, M Manimaran, Mounika Vogu, Khan Moien Ab
Radiology, Tagore Medical College and Hospital, Chennai, IND.
Radiodiagnosis, Tagore Medical College and Hospital, Chennai, IND.
Cureus. 2023 Dec 27;15(12):e51158. doi: 10.7759/cureus.51158. eCollection 2023 Dec.
Torsion of an epididymal cyst is one of the rare and least-known causes of acute scrotal pain. Epididymal cysts, when large, can undergo occasional complications like infection or, rarely they might undergo torsion, needing emergency surgery. We present a case of a 37-year-old gentleman with acute scrotal pain to the scrotum. Testicular torsion was suspected clinically, but sonography revealed a normal-appearing testis and a large left-sided epididymal cyst with internal echoes and dependent debris. A diagnosis of epididymal cyst torsion was suspected based on sonographic findings. Exploratory surgery showed a reddish, inflamed epididymal cyst that had undergone torsion on its pedicle. The cyst was excised leading to symptomatic relief to the patient. Due to the rarity of this condition, such cases are often misdiagnosed clinically as testicular torsion. Ultrasonography helps in aiding the correct diagnosis and the radiologist needs to be familiar with the radiological aspects of diagnosing torsion of epididymal cysts.
附睾囊肿扭转是急性阴囊疼痛罕见且鲜为人知的病因之一。附睾囊肿较大时，偶尔会出现感染等并发症，极少数情况下可能会发生扭转，需要紧急手术。我们报告一例37岁男性因阴囊急性疼痛前来就诊的病例。临床怀疑为睾丸扭转，但超声检查显示睾丸外观正常，左侧有一个较大的附睾囊肿，内部有回声及沉积物。根据超声检查结果怀疑为附睾囊肿扭转。探查手术显示附睾囊肿呈红色、发炎，其蒂部发生了扭转。切除囊肿后患者症状缓解。由于这种情况罕见，此类病例临床上常被误诊为睾丸扭转。超声有助于做出正确诊断，放射科医生需要熟悉诊断附睾囊肿扭转的影像学特征。
