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    Go to the top of the page   ID: 20050715104508 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Epididymal Cyst with Testicular Retention, Hydatid and Hydrocele
    Dirk Schaper, K Gerlach. Epididymal Cyst with Testicular Retention, Hydatid and Hydrocele. PedRad [serial online] vol 5, no. 7.
    URL: www.PedRad.info/?search=20050715104508


     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Dirk Schaper, K. Gerlach (Klinik für Kinderchirurgie Krankenhaus St. Elisabeth und St. Barbara Halle/S.)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    8 Weeks  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Pelvis-Testis  

     
     Pediatric Radiology CasesMost likely etiology:

    congenital  

     
     Pediatric Radiology CasesHistory:

    Presentation because of retention of the testes at 8 weeks of age. Right hemiscrotum was hypoplastic, the testis itself is, however, well-palpated in the right inguinal region. There is somewhat resistence. On the other side, the scrotum is well-developed with discrete testicular hydrocele. Beta-HCG and Alpha-Fetoprotein were unremarkable.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    Epididymal cysts are generally benign and spontaneously regress. They are often a chance finding of a sonographic examination of the male genitalia. They can, however, cause symptoms - especially when they are large and give the patient a weighted-down feeling. One finds epididymal cysts in children whose mothers were treated with Diethylstilbestrol (DES). But also children who have testicular retention, cystic fibrosis and von Hippel-Lindau's Disease have increased incidence of epididymal cysts. A connection with the autosomal-dominant passed on disease of Polycystic Kidney Disease is being discussed.
    Wollin et al. saw developmental rudimentary structures of the epididymis which had no connection to the tubule system of the epididymis.
    Others see a hormonal cause as a leading cause and categorize the epididymal cyst as a testicular dysgenesis.
    The increased incidence in connection to a maldescendent testis is not able to be explained at this time. How epididymal obstruction or an abnormal hormonal reaction are the causes is still unclear.  

     
     Pediatric Radiology CasesRadiological findings:


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: A mass which is low in echoes in the epididymal head in testicular retention and testicular hydrocele.





    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: 6,3 x6,7 mm mass of the right epididymal head.





    Ultrasound 3 <- view Ultrasound 3

    Ultrasound 3: Opposite side you see a 1,5mm large structure by the epididymis which is free of echoes.





    Ultrasound 4 <- view Ultrasound 4

    Ultrasound 4: Opposite side you see a 1,5mm large structure by the epididymis which is free of echoes with a testicular hydrocele.





    OP-Situs 1 <- view OP-Situs 1

    OP-Situs 1: OP: intraoperative findings

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Cystic teratoma, large hydatide, hudatide cyst  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Because of the unclear mass and the danger of torsion with the testicular retention, we decided to operate. The epididymal cyst was scraped out, the hydatide was removed and the testes were pexated. We also found kidney tissue in the spermatic cord during surgery.
    The sonographically seen hydatide of the opposite side was not operated on.  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Homayoon,K.,Suhre,Ch.D., Steinhardt,G.F.
    Epididymal Cysts in Children: Natural History.
    J Urol. 2004 Mar; 171(3): 1247-6

    2. Medline: Medline
    Wollin,M.,Marshall,F.F.,Fink,M.P.,Malhotra,R.,Diamond,D.A.
    Abberant epididymal tissue: a significant clinical entity.
    J Urol. 1987 138: 1247,  

     
     Pediatric Radiology CasesKeywords:

    Epididymis, Cyst, Testicular retention, Hydatide, Hydatid, Hydrocele, Retentio testis, Testis, Epididymal Cyst,Testicular Retention, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Dirk Schaper, K Gerlach. Epididymal Cyst with Testicular Retention, Hydatid and Hydrocele. PedRad [serial online] vol 5, no. 7.
    URL: www.PedRad.info/?search=20050715104508  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Pelvis-Testis
    or in the region: Pelvis
    or in the tissue/organ: Testis
    or with the etiology: congenital
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     
    Epididymal Cyst with Testicular Retention, Hydatid and Hydrocele
    Dirk Schaper, K Gerlach. Epididymal Cyst with Testicular Retention, Hydatid and Hydrocele. PedRad [serial online] vol 5, no. 7.
    URL: www.PedRad.info/?search=20050715104508


     

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    Epididymal Cyst with Testicular Retention, Hydatid and Hydrocele
    Other cases by these authors:

    Search Dirk Schaper in Medline Dirk Schaper (43)   
    Search K. Gerlach in Medline K. Gerlach (5)   

    Epididymal Cyst with Testicular Retention, Hydatid and Hydrocele  
     
    Epididymal Cyst with Testicular Retention, Hydatid and Hydrocele
    Dirk Schaper, K Gerlach. Epididymal Cyst with Testicular Retention, Hydatid and Hydrocele. PedRad [serial online] vol 5, no. 7.
    URL: www.PedRad.info/?search=20050715104508


     

    Which diagnosis have other collegues guessed?


    • Testicular Hydrocele
      Votes: 5 (55 %)


    • Epididymal cyst
      Votes: 2 (22 %)


    • Funiculocele
      Votes: 1 (11 %)


    • Spermatocele
      Votes: 0 (0 %)


    • Nuksche Cyst
      Votes: 1 (11 %)


    • Hydatide
      Votes: 0 (0 %)


    • Cystic Teratoma
      Votes: 0 (0 %)



        Total answers: 9

     
    Epididymal Cyst with Testicular Retention, Hydatid and Hydrocele
    Dirk Schaper, K Gerlach. Epididymal Cyst with Testicular Retention, Hydatid and Hydrocele. PedRad [serial online] vol 5, no. 7.
    URL: www.PedRad.info/?search=20050715104508


     

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    Epididymal Cyst with Testicular Retention, Hydatid and Hydrocele
    Dirk Schaper, K Gerlach. Epididymal Cyst with Testicular Retention, Hydatid and Hydrocele. PedRad [serial online] vol 5, no. 7.
    URL: www.PedRad.info/?search=20050715104508


     




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