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.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5143718 | PMC |
| http://dx.doi.org/10.1155/2016/7236104 | DOI Listing |
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