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

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2008-08-31T21:00:00Z
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Ilbey, Yusuf Ozlem
Ozbek, Emin
Simşek, Abdulmuttalip
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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.
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