Case Report: Adolescent epididymal cysts: three management approaches including a rare synchronous epididymal cyst and testicular torsion

Clicks: 2
ID: 309860
2025
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Emerging

Ranked #319 of 490 articles by views in Frontiers in surgery

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 490 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
IntroductionEpididymal cysts are common benign lesions that typically present as painless scrotal masses. They predominantly occur in adult males but can also be found in adolescents, albeit with a higher likelihood of being overlooked at this age. Most patients experience relief or complete resolution of symptoms following conservative treatment. However, large cysts pose a risk of torsion. Torsion of an epididymal cyst in adolescents is clinically rare, with only a few reported cases to date, presenting diagnostic challenges for clinicians.Case descriptionsWe report three cases of epididymal cysts in adolescents. Case 1 involved an asymptomatic cyst treated with aspiration, demonstrating significant cyst reduction at 4-month follow-up. Case 2 presented a persistent simple cyst managed by elective surgical excision with pathological confirmation after prolonged surveillance showed no resolution. Case 3 presented acutely with pain and suspected torsion on scrotal ultrasound, requiring emergency surgical intervention that revealed a 720° torsion of the epididymal cyst combined with 180° testicular torsion, treated testis detorsion and cyst excision. All cases achieved favorable outcomes.ConclusionEpididymal cysts in adolescents warrant a tailored management strategy. While aspiration or elective excision are effective for non-acute cases, the potential for synchronous testicular torsion necessitates a high index of suspicion and prompt surgical exploration in acute presentations to preserve testicular viability.
Reference Key
imported_1768900471_696f47772c2c0 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Xia, Liguang
Journal Frontiers in surgery
Year 2025
DOI
10.3389/fsurg.2025.1660670
URL
https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2025.1660670/full
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.