title: Torsion of a Communicating Hydrocele Presented as Acute Scrotum: A Case Report and Literature Review.
abstract: Torsion of a communicating hydrocele is extremely rare, and the cause is unclear. We report the case of a 3-year-old boy referred to us with acute scrotum. Operative findings revealed torsion of a communicating hydrocele with a 360-degree rotation of the distal end. We performed surgical excision of the necrotic cystic mass and high ligation of the peritoneal communication. A high index of suspicion is required for the correct diagnosis and treatment of this condition, which should be included among the causes of acute scrotum in childhood.
authors.affiliation: Department of Surgery, Division of Pediatric Surgery, Medical School of Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
authors.forename: Ivonete
authors.identifier: 0000-0001-5376-5582
authors.initials: I
authors.lastname: Siviero
authors.affiliation: Department of Surgery, Division of Pediatric Surgery, Medical School of Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
authors.forename: Ivens Baker
authors.initials: IB
authors.lastname: Méio
authors.affiliation: Department of Surgery, Division of Pediatric Surgery, Medical School of Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
authors.forename: Saulo Marcos Rebello
authors.initials: SM
authors.lastname: Ferrante
authors.affiliation: Division of Pediatric Surgery, Instituto de Pediatria e Puericultura Martagão Gesteira, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
authors.forename: Danielle Nunes
authors.initials: DN
authors.lastname: Forny
authors.affiliation: Division of Pediatric Surgery, Instituto de Pediatria e Puericultura Martagão Gesteira, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
authors.forename: André Lima
authors.initials: AL
authors.lastname: da Cunha