Atypical Testicular Torsion Due to an Epididymal Cyst in a Young Adult: Case Report

Bachelard Cissa Wa Numbe,1,2 Franck Masumbuko Mukamba,1,2 Costa Sudi Musilimu,1,2 Joelle Rudahaba Nshengo,1,2 Lievin Muhindo Busamba,1,2 Dominique Chimanuka Mirindi,1,2 Léon-Emmanuel Mubenga Mukengeshai1– 3 1Faculty of Medicine, Université Catholique de Bukavu (UCB), Bukavu, Democratic Republic of C...

Full description

Saved in:
Bibliographic Details
Main Authors: Wa Numbe BC, Mukamba FM, Musilimu CS, Rudahaba Nshengo J, Muhindo Busamba L, Mirindi DC, Mubenga Mukengeshai LE
Format: Article
Language:English
Published: Dove Medical Press 2025-07-01
Series:Research and Reports in Urology
Subjects:
Online Access:https://www.dovepress.com/atypical-testicular-torsion-due-to-an-epididymal-cyst-in-a-young-adult-peer-reviewed-fulltext-article-RRU
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850076182647668736
author Wa Numbe BC
Mukamba FM
Musilimu CS
Rudahaba Nshengo J
Muhindo Busamba L
Mirindi DC
Mubenga Mukengeshai LE
author_facet Wa Numbe BC
Mukamba FM
Musilimu CS
Rudahaba Nshengo J
Muhindo Busamba L
Mirindi DC
Mubenga Mukengeshai LE
author_sort Wa Numbe BC
collection DOAJ
description Bachelard Cissa Wa Numbe,1,2 Franck Masumbuko Mukamba,1,2 Costa Sudi Musilimu,1,2 Joelle Rudahaba Nshengo,1,2 Lievin Muhindo Busamba,1,2 Dominique Chimanuka Mirindi,1,2 Léon-Emmanuel Mubenga Mukengeshai1– 3 1Faculty of Medicine, Université Catholique de Bukavu (UCB), Bukavu, Democratic Republic of Congo; 2Department of Surgery, Hôpital Provincial Général de Référence de Bukavu (HPGRB), Bukavu, Democratic Republic of Congo; 3Institut supérieur des techniques médicales de Bukavu (ISTM Bukavu), Bukavu, Democratic Republic of CongoCorrespondence: Bachelard Cissa Wa Numbe, Email wcissa1@gmail.comBackground: 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.Keywords: atypical, testicular, torsion, epididymal cyst, young adult
format Article
id doaj-art-1a7e810db2cc423a911579dba274e4ce
institution DOAJ
issn 2253-2447
language English
publishDate 2025-07-01
publisher Dove Medical Press
record_format Article
series Research and Reports in Urology
spelling doaj-art-1a7e810db2cc423a911579dba274e4ce2025-08-20T02:46:05ZengDove Medical PressResearch and Reports in Urology2253-24472025-07-01Volume 17Issue 1249255105244Atypical Testicular Torsion Due to an Epididymal Cyst in a Young Adult: Case ReportWa Numbe BC0Mukamba FM1Musilimu CS2Rudahaba Nshengo J3Muhindo Busamba L4Mirindi DC5Mubenga Mukengeshai LE6Surgery, Faculty of Medicine, Hôpital Provincial Général de Référence de Bukavu (HPGRB)Surgery, Surgery, General Provincial Reference Hospital of Bukavu (HPGRB)Surgery, Surgery, General Provincial Reference Hospital of Bukavu (HPGRB)Surgery, Surgery, General Provincial Reference Hospital of Bukavu (HPGRB)Surgery, Surgery, General Provincial Reference Hospital of Bukavu (HPGRB)Surgery, General Provincial Reference Hospital of Bukavu (HPGRB)Surgery, General Provincial Reference Hospital of Bukavu (HPGRB)Bachelard Cissa Wa Numbe,1,2 Franck Masumbuko Mukamba,1,2 Costa Sudi Musilimu,1,2 Joelle Rudahaba Nshengo,1,2 Lievin Muhindo Busamba,1,2 Dominique Chimanuka Mirindi,1,2 Léon-Emmanuel Mubenga Mukengeshai1– 3 1Faculty of Medicine, Université Catholique de Bukavu (UCB), Bukavu, Democratic Republic of Congo; 2Department of Surgery, Hôpital Provincial Général de Référence de Bukavu (HPGRB), Bukavu, Democratic Republic of Congo; 3Institut supérieur des techniques médicales de Bukavu (ISTM Bukavu), Bukavu, Democratic Republic of CongoCorrespondence: Bachelard Cissa Wa Numbe, Email wcissa1@gmail.comBackground: 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.Keywords: atypical, testicular, torsion, epididymal cyst, young adulthttps://www.dovepress.com/atypical-testicular-torsion-due-to-an-epididymal-cyst-in-a-young-adult-peer-reviewed-fulltext-article-RRUAtypicalTesticularTorsionEpididymal CystYoung Adult
spellingShingle Wa Numbe BC
Mukamba FM
Musilimu CS
Rudahaba Nshengo J
Muhindo Busamba L
Mirindi DC
Mubenga Mukengeshai LE
Atypical Testicular Torsion Due to an Epididymal Cyst in a Young Adult: Case Report
Research and Reports in Urology
Atypical
Testicular
Torsion
Epididymal Cyst
Young Adult
title Atypical Testicular Torsion Due to an Epididymal Cyst in a Young Adult: Case Report
title_full Atypical Testicular Torsion Due to an Epididymal Cyst in a Young Adult: Case Report
title_fullStr Atypical Testicular Torsion Due to an Epididymal Cyst in a Young Adult: Case Report
title_full_unstemmed Atypical Testicular Torsion Due to an Epididymal Cyst in a Young Adult: Case Report
title_short Atypical Testicular Torsion Due to an Epididymal Cyst in a Young Adult: Case Report
title_sort atypical testicular torsion due to an epididymal cyst in a young adult case report
topic Atypical
Testicular
Torsion
Epididymal Cyst
Young Adult
url https://www.dovepress.com/atypical-testicular-torsion-due-to-an-epididymal-cyst-in-a-young-adult-peer-reviewed-fulltext-article-RRU
work_keys_str_mv AT wanumbebc atypicaltesticulartorsionduetoanepididymalcystinayoungadultcasereport
AT mukambafm atypicaltesticulartorsionduetoanepididymalcystinayoungadultcasereport
AT musilimucs atypicaltesticulartorsionduetoanepididymalcystinayoungadultcasereport
AT rudahabanshengoj atypicaltesticulartorsionduetoanepididymalcystinayoungadultcasereport
AT muhindobusambal atypicaltesticulartorsionduetoanepididymalcystinayoungadultcasereport
AT mirindidc atypicaltesticulartorsionduetoanepididymalcystinayoungadultcasereport
AT mubengamukengeshaile atypicaltesticulartorsionduetoanepididymalcystinayoungadultcasereport