Atypical Testicular Torsion Due to an Epididymal Cyst in a Young Adult: Case Report.

IF 2.7 Q2 UROLOGY & NEPHROLOGY

Research and Reports in Urology Pub Date : 2025-07-29 eCollection Date: 2025-01-01 DOI:10.2147/RRU.S534156

Bachelard Cissa Wa Numbe, Franck Masumbuko Mukamba, Costa Sudi Musilimu, Joelle Rudahaba Nshengo, Lievin Muhindo Busamba, Dominique Chimanuka Mirindi, Léon-Emmanuel Mubenga Mukengeshai

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Abstract

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.

Abstract Image

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年轻成人附睾囊肿所致非典型睾丸扭转1例报告。

背景：急性阴囊痛是泌尿外科的急症。睾丸扭转（TT）是一种危及睾丸活力的外科急症。从出现扭转症状到需要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。延误护理可能需要睾丸切除术，这与生育能力下降有关。它可以发生在任何年龄，有两个频率高峰：在生命的头几年和青春期。引起睾丸扭转的原因是多方面的，并与睾丸固定系统的缺陷有关。病例介绍：在这里我们报告一个不寻常的情况睾丸扭转引起一个大的附睾囊肿在一个年轻的成年人。囊肿切除，双侧睾丸固定，患者于第三天出院。术后第6周和第12周临床检查和多普勒超声检查均正常。结论：这一观察结果使我们认为附睾囊肿是TT的一个危险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Research and Reports in Urology UROLOGY & NEPHROLOGY-

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

16 weeks

期刊介绍： Research and Reports in Urology is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of adult and pediatric urology in the clinic and laboratory including the following topics: Pathology, pathophysiology of urological disease Investigation and treatment of urological disease Pharmacology of drugs used for the treatment of urological disease Although the main focus of the journal is to publish research and clinical results in humans; preclinical, animal and in vitro studies will be published where they will shed light on disease processes and potential new therapies. Issues of patient safety and quality of care will also be considered.