Torsion of testis with large epididymal cyst in a 57-year-old man: a case report.

Abstract

Testicular torsion is a rare pathology in adults. While it generally develops as a consequence of certain congenital abnormalities in pediatric and adolescent patients, the exact mechanism in adults remains unclear.A 57-year-old man initially diagnosed with right epididiymal cyst, when presented with severe right-sided scrotal pain six months later, was found to have a 720-degree right testicular torsion on surgical exploration.Testicular torsion should be considered in the differential diagnosis of acute scrotum, regardless of patient age. We report a case of testicular torsion in the elderly patient, which may offer a contribution to the literature regarding the etiology of adult testicular torsion.