Thanks for the wonderful lecture sir! I encountered a case, an adult male with focal tenderness near the upper pole of testis. On ultrasound, there was a cyst (approx 3 cm) adjacent to the epididymal head with low level echoes and increased peripheral vascularity. The adjacent epididymal head was inflamed and there was a mild hydrocele as well. Could this be a case of torsion appendix testis or torsion of epididymal cyst or just an epididymitis. Thanks in advance!
Glad you enjoyed the lecture! Torsed appendix testes and appendix epididymides are typically solid in the acute phase. Some theorize that cystic appendages may have undergone prior infarction. Also, torsed appendages are more common in the pediatric population. Epididymal cyst torsion has been described, but it's extremely rare.
Hello sir i have little pain always in my right upper testis and in ultrasound they said there are minimal fluid in right testicles so can you tell me is there any serious condition or not ?
The best ever . Thanks.
Thanks so much, appreciate that!
Great teaching case
Thank you, and glad you enjoyed it!
Very useful and helpful. Thanks
Glad it was helpful!
Thanks for the wonderful lecture sir! I encountered a case, an adult male with focal tenderness near the upper pole of testis. On ultrasound, there was a cyst (approx 3 cm) adjacent to the epididymal head with low level echoes and increased peripheral vascularity. The adjacent epididymal head was inflamed and there was a mild hydrocele as well. Could this be a case of torsion appendix testis or torsion of epididymal cyst or just an epididymitis. Thanks in advance!
Glad you enjoyed the lecture! Torsed appendix testes and appendix epididymides are typically solid in the acute phase. Some theorize that cystic appendages may have undergone prior infarction. Also, torsed appendages are more common in the pediatric population. Epididymal cyst torsion has been described, but it's extremely rare.
@@Radquartersthank you very much for the reply sir!
nice boss
Many thanks
Very interesting! What is the urgency for a case like this??
Patients can present with severe pain similar to testicular torsion, but the treatment is conservative once the diagnosis is made.
Hello sir i have little pain always in my right upper testis and in ultrasound they said there are minimal fluid in right testicles so can you tell me is there any serious condition or not ?
Though its educational , but you speak too fast with monotonous voice.