Testicular cavernous hemangioma associated with testicular torsion – case report and review of literature

We present a case of testicular torsion in a 15-year-old male patient who had a painful left testis for 6 days, no vomiting, no fever or dysuria.With clinical suspicion of an old testicular torsion the patient was examined by ultrasound which confirmed the clinical diagnosis.The patient underwent emergency surgical exploration. The left testis was found to be necrotic after a 360 degree testicular torsion and an orchiectomy was performed.ResultsThe postoperative course was uneventful. The patient was discharged on day 4 after surgery. Histology showed a complete ischemic infarction of the testicular parenchyma as part of a ruptured intratesticular cavernous hemangioma.Discussion and conclusionCavernous hemangioma is a rare tumor of the testicle in either childhood or adult period. The particularity of the presented case is the possible association of a cavernous intratesticular hemangioma with the torsion of the testis in a teenager. Clinicians and pathologists must be aware of the rare entity of testicular hemangiomas, as clinical examination and imaging studies do not often suffice to arrive at a correct diagnosis.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research