{"title":"年轻成人附睾囊肿所致非典型睾丸扭转1例报告。","authors":"Bachelard Cissa Wa Numbe, Franck Masumbuko Mukamba, Costa Sudi Musilimu, Joelle Rudahaba Nshengo, Lievin Muhindo Busamba, Dominique Chimanuka Mirindi, Léon-Emmanuel Mubenga Mukengeshai","doi":"10.2147/RRU.S534156","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Case presentation: </strong>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.</p><p><strong>Conclusion: </strong>This observation leads us to consider epididymal cysts as a risk factor for TT.</p>","PeriodicalId":21008,"journal":{"name":"Research and Reports in Urology","volume":"17 ","pages":"249-255"},"PeriodicalIF":2.7000,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12318843/pdf/","citationCount":"0","resultStr":"{\"title\":\"Atypical Testicular Torsion Due to an Epididymal Cyst in a Young Adult: Case Report.\",\"authors\":\"Bachelard Cissa Wa Numbe, Franck Masumbuko Mukamba, Costa Sudi Musilimu, Joelle Rudahaba Nshengo, Lievin Muhindo Busamba, Dominique Chimanuka Mirindi, Léon-Emmanuel Mubenga Mukengeshai\",\"doi\":\"10.2147/RRU.S534156\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Case presentation: </strong>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.</p><p><strong>Conclusion: </strong>This observation leads us to consider epididymal cysts as a risk factor for TT.</p>\",\"PeriodicalId\":21008,\"journal\":{\"name\":\"Research and Reports in Urology\",\"volume\":\"17 \",\"pages\":\"249-255\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-07-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12318843/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Research and Reports in Urology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2147/RRU.S534156\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Research and Reports in Urology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/RRU.S534156","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
Atypical Testicular Torsion Due to an Epididymal Cyst in a Young Adult: Case Report.
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.
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.
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