一名年轻男性因附睾囊肿导致的非典型睾丸扭转：病例报告
Atypical Testicular Torsion Due to an Epididymal Cyst in a Young Adult: Case Report.
作者信息
Wa Numbe Bachelard Cissa, Mukamba Franck Masumbuko, Musilimu Costa Sudi, Rudahaba Nshengo Joelle, Muhindo Busamba Lievin, Mirindi Dominique Chimanuka, Mubenga Mukengeshai Léon-Emmanuel
机构信息
Faculty of Medicine, Université Catholique de Bukavu (UCB), Bukavu, Democratic Republic of Congo.
Department of Surgery, Hôpital Provincial Général de Référence de Bukavu (HPGRB), Bukavu, Democratic Republic of Congo.
出版信息
Res Rep Urol. 2025 Jul 29;17:249-255. doi: 10.2147/RRU.S534156. eCollection 2025.
BACKGROUND
Acute scrotal pain is a urological emergency. Testicular torsion (TT) is a surgical emergency that compromises rapidly testicular viability. There is approximately a 4- to 8-hour window from the onset of torsion symptoms until surgical intervention is required to save the affected testis. Delays in care may necessitate orchiectomy, which has been associated with reduced fertility. It can occur at any age, with two peaks of frequency: during the first years of life and at puberty. The causes of testicular torsion are multiple and are related to a defect in the fixation system of the testicle.
CASE PRESENTATION
Here we report an unusual situation of testicular torsion induced by a large epididymal cyst in a young adult. The cyst was excised as well as bilateral testicular fixation and the patient was discharged on the third day. Clinical examinations and Doppler ultrasound at the sixth and twelfth postoperative weeks were both normal.
CONCLUSION
This observation leads us to consider epididymal cysts as a risk factor for TT.
背景
急性阴囊疼痛是一种泌尿外科急症。睾丸扭转（TT）是一种外科急症，会迅速损害睾丸的活力。从扭转症状出现到需要进行手术干预以挽救受影响的睾丸，大约有4至8小时的窗口期。延误治疗可能需要进行睾丸切除术，这与生育能力下降有关。它可发生于任何年龄，有两个发病高峰：在生命的最初几年和青春期。睾丸扭转的原因是多方面的，与睾丸固定系统的缺陷有关。
病例报告
在此，我们报告一例年轻男性因巨大附睾囊肿导致睾丸扭转的罕见情况。囊肿被切除，同时进行了双侧睾丸固定术，患者在第三天出院。术后第六周和第十二周的临床检查及多普勒超声检查均正常。
结论
该病例使我们认为附睾囊肿是睾丸扭转的一个危险因素。
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