Two cases of intrascrotal tumors complicated acute scrotum

• Published in: Nippon Hinyokika Gakkai zasshi Vol. 99; no. 6; p. 698
• Main Authors: Takeshita, Hideki, Chiba, Koji, Kitayama, Sachi, Noro, Akira
• Format: Journal Article
• Language: Japanese
• Published: Japan 01-09-2008
• Subjects: Adolescent; Adult; Diagnosis, Differential; Humans; Male; Orchiectomy; Scrotum; Seminoma - complications; Seminoma - diagnosis; Seminoma - surgery; Spermatic Cord Torsion - complications; Spermatic Cord Torsion - diagnosis; Spermatic Cord Torsion - surgery; Spermatocele - complications; Spermatocele - diagnosis; Spermatocele - surgery; Testicular Neoplasms - complications; Testicular Neoplasms - diagnosis; Testicular Neoplasms - surgery
• ISSN: 0021-5287
• DOI: 10.5980/jpnjurol1989.99.698

We report 2 rare cases of intrascrotal tumors complicated acute scrotum. Case 1: A 15-year-old adolescent presented to our emergency room with acute right scrotal pain. Testicular torsion was suspected, and surgical exploration was performed. A spermatocele with 180 degrees torsion on its pedicle was observed. The patient was diagnosed with torsion of a spermatocele, and it was excised. Case 2: A 25-year-old man presented with acute left scrotal pain. Testicular torsion was suspected, and manual detorsion relieved the pain effectively. However, scrotal swelling did not subside after detorsion, and surgical exploration was performed. The left testis was stony hard on palpation, and intraoperative ultrasound revealed a mosaic echo pattern. A testicular tumor was highly suspected and left high orchiectomy was performed. Histopathological examination revealed seminoma pT1. Torsion of a testicular tumor was diagnosed. Although these 2 cases are extremely rare, they should be considered for the differential diagnosis of acute scrotum.