title: Torsion of testis with large epididymal cyst in a 57-year-old man: a case report.
abstract: BACKGROUND
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Bezm-i Alem Valide Sultan, Vakif Gureba Trainig and Education Hospital, Department of Urology, Istanbul, Turkey. ozlemyusufilbey@hotmail.com
authors.forename: Yusuf Ozlem
authors.initials: YO
authors.lastname: Ilbey
authors.forename: Emin
authors.initials: E
authors.lastname: Ozbek
authors.forename: Abdulmuttalip
authors.initials: A
authors.lastname: Simşek
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D013086:Spermatic Cord Torsion / Q000150:complications* / Q000601:surgery; D013088:Spermatocele / Q000150:complications* / Q000473:pathology / Q000601:surgery