title: Torsion of an encysted fluid collection.
abstract: Torsion of a cyst within the tunica vaginalis is a rare entity and clinical course can easily be confused with other diseases that cause acute scrotum. We report a 6-year-old child with 3 days of acute scrotum findings. Patient had surgery with the suspicion of testis torsion. Torsion of a cyst within the tunica vaginalis was found intraoperatively. In pathologic evaluation, a necrotic funicular cyst was diagnosed. Two different mechanisms were reported for the reason of this disease: hernia sac protrusion in the hydrocele sac and bell-clapper deformity. Our observations were on the side of bell-clapper deformity. We aimed to share our findings with this report.
authors.affiliation: Department of Pediatric Surgery, University of Gaziosmanpasa, Araştirma ve Uygulama Hastanesi, Tokat, Turkey. asenayli@gop.edu.tr
authors.forename: Atilla
authors.initials: A
authors.lastname: Senayli
authors.forename: Yesim
authors.initials: Y
authors.lastname: Senayli
authors.forename: Engin
authors.initials: E
authors.lastname: Sezer
authors.forename: Taner
authors.initials: T
authors.lastname: Sezer
mesh_terms: D002648:Child; D020420:Cyst Fluid / Q000166:cytology; D015653:Cystectomy; D003560:Cysts / Q000175:diagnosis* / Q000601:surgery*; D004487:Edema / Q000175:diagnosis* / Q000517:prevention & control*; D006801:Humans; D008297:Male; D013086:Spermatic Cord Torsion / Q000175:diagnosis* / Q000601:surgery*; D016896:Treatment Outcome