An isolated torsion of epididymis in a 17-year-old boy: A rare cause of acute scrotum

Abstract

Farzaneh Sharifi Aghdas, Seyyed Mohammad Ghahestani, Mohammad Hamidi Madani, Alireza Zadmehr, Hossein Fowzi Fard, Hamed Hasani

Acute scrotum is a common clinical problem in children and torsion event superimposed on complete dissociation of the testicle and epididymis can be difficult to diagnose and often requires scrotal exploration. To the best of our knowledge, four cases of isolated torsion of the epididymis have been reported in the literature. We report a 17-year-old male patient with epididymal torsion who presented with testicular pain and hemi-scrotum swelling. Due to painful symptoms, emergency scrotal surgery exploration of the patient revealed a complete epididymis infarction due to isolated epididymal torsion with dissociation of the testis and epididymis.

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