Torsion of an intrahydrocelic sac in a child: A case report

Efstratios Christianakis¹ , Nikolaos Paschalidis² , Georgios Filippou² , Maria Chorti³ , Nikolaos Andromanakos² , Michael Pitiakoudis² , Spiros Rizos² and Dimitrios Filippou²

¹Department of Paediatric Surgery, Penteli's Children's Hospital, Athens, Greece

²First Department of General Surgery, Piraeus General Hospital "Tzaneio", Piraeus-Athens, Greece

³Department of Pathology, Athens General Hospital "Sismanoglion", Brilisia, Athens, Greece

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Cases Journal 2008, 1:18doi:10.1186/1757-1626-1-18


Published:	16 June 2008

Abstract

We report the case of a 3-yr-old boy who presented an acute right hydrocele. A rapid scrotal swelling under tension developed the first hours and the child complained for discomfort especially during palpation of the scrotum. Three days later, surgical exploration revealed an incomplete torsion of a communicated and pedunculated peritoneal sac arising from the tunica vaginalis testis.

The present case report represents the eleventh report of torsion of processus vaginalis saccular protrusion in the literature, being unique due to painless hematocele.