Co-existence of Morgagni’s cyst with a twisted vas aberrans and “bell clapper” deformity in a 15-year-old boy: a case report
Abstract Background The testicular appendix is a residual of the paramesonephric and mesonephric duct, most commonly found close to the superior pole of the epididymis as Morgagni’s cyst. Torsion of such cysts is a common event in children, and the patient usually presents with a palpable testis wit...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2023-12-01
|
| Series: | Egyptian Pediatric Association Gazette |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43054-023-00241-3 |
| _version_ | 1797377162379001856 |
|---|---|
| author | Athanasios G. Pegios Apostolos P. Andronikou Ioannis Ch. Georgakis George S. Papouis |
| author_facet | Athanasios G. Pegios Apostolos P. Andronikou Ioannis Ch. Georgakis George S. Papouis |
| author_sort | Athanasios G. Pegios |
| collection | DOAJ |
| description | Abstract Background The testicular appendix is a residual of the paramesonephric and mesonephric duct, most commonly found close to the superior pole of the epididymis as Morgagni’s cyst. Torsion of such cysts is a common event in children, and the patient usually presents with a palpable testis with a tender mass in its upper pole. The co-existence of two or more appendices is very rare. In addition to the fact that Morgagni’s cyst was the non-twisted one and vas aberrans was, made clinical and radiological diagnosis difficult. Case presentation Our patient, a 15-year-old boy, presented with persistent pain in the right scrotum, a significant palpable mass accompanied by vomiting. Upon surgical exploration, a large dark cyst was found located on the right side of the right testicle with a 720-degree torsion. The cyst was straightened and excised along with a Morgagni’s cyst. The testis was fixed in the right hemiscrotum due to a “bell clapper” deformity that was also a finding. Conclusions Pathological findings were consistent with a twisted cyst of a testicular appendix (vas aberrans). Co-existence of two or more appendices is very rare in addition to the fact that Morgagni’s cyst was the non-twisted one. Usually and in very few cases, a second appendix is found randomly, during surgical exploration for acute scrotum due to torsion of Morgagni’s cyst. |
| first_indexed | 2024-03-08T19:48:44Z |
| format | Article |
| id | doaj.art-d0b7fd8b3091495a804ea8c44a34be75 |
| institution | Directory Open Access Journal |
| issn | 2090-9942 |
| language | English |
| last_indexed | 2024-03-08T19:48:44Z |
| publishDate | 2023-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Pediatric Association Gazette |
| spelling | doaj.art-d0b7fd8b3091495a804ea8c44a34be752023-12-24T12:12:09ZengSpringerOpenEgyptian Pediatric Association Gazette2090-99422023-12-017111310.1186/s43054-023-00241-3Co-existence of Morgagni’s cyst with a twisted vas aberrans and “bell clapper” deformity in a 15-year-old boy: a case reportAthanasios G. Pegios0Apostolos P. Andronikou1Ioannis Ch. Georgakis2George S. Papouis3Department of Pediatric Surgery, Hippokratio Hospital Thessaloniki GreeceDepartment of General Surgery, Vostanio General Hospital of MytiliniDepartment of Pediatric Surgery, Hippokratio Hospital Thessaloniki GreeceDepartment of Pediatric Surgery, Hippokratio Hospital Thessaloniki GreeceAbstract Background The testicular appendix is a residual of the paramesonephric and mesonephric duct, most commonly found close to the superior pole of the epididymis as Morgagni’s cyst. Torsion of such cysts is a common event in children, and the patient usually presents with a palpable testis with a tender mass in its upper pole. The co-existence of two or more appendices is very rare. In addition to the fact that Morgagni’s cyst was the non-twisted one and vas aberrans was, made clinical and radiological diagnosis difficult. Case presentation Our patient, a 15-year-old boy, presented with persistent pain in the right scrotum, a significant palpable mass accompanied by vomiting. Upon surgical exploration, a large dark cyst was found located on the right side of the right testicle with a 720-degree torsion. The cyst was straightened and excised along with a Morgagni’s cyst. The testis was fixed in the right hemiscrotum due to a “bell clapper” deformity that was also a finding. Conclusions Pathological findings were consistent with a twisted cyst of a testicular appendix (vas aberrans). Co-existence of two or more appendices is very rare in addition to the fact that Morgagni’s cyst was the non-twisted one. Usually and in very few cases, a second appendix is found randomly, during surgical exploration for acute scrotum due to torsion of Morgagni’s cyst.https://doi.org/10.1186/s43054-023-00241-3Vas aberransTesticularAppendixTorsionCase report |
| spellingShingle | Athanasios G. Pegios Apostolos P. Andronikou Ioannis Ch. Georgakis George S. Papouis Co-existence of Morgagni’s cyst with a twisted vas aberrans and “bell clapper” deformity in a 15-year-old boy: a case report Egyptian Pediatric Association Gazette Vas aberrans Testicular Appendix Torsion Case report |
| title | Co-existence of Morgagni’s cyst with a twisted vas aberrans and “bell clapper” deformity in a 15-year-old boy: a case report |
| title_full | Co-existence of Morgagni’s cyst with a twisted vas aberrans and “bell clapper” deformity in a 15-year-old boy: a case report |
| title_fullStr | Co-existence of Morgagni’s cyst with a twisted vas aberrans and “bell clapper” deformity in a 15-year-old boy: a case report |
| title_full_unstemmed | Co-existence of Morgagni’s cyst with a twisted vas aberrans and “bell clapper” deformity in a 15-year-old boy: a case report |
| title_short | Co-existence of Morgagni’s cyst with a twisted vas aberrans and “bell clapper” deformity in a 15-year-old boy: a case report |
| title_sort | co existence of morgagni s cyst with a twisted vas aberrans and bell clapper deformity in a 15 year old boy a case report |
| topic | Vas aberrans Testicular Appendix Torsion Case report |
| url | https://doi.org/10.1186/s43054-023-00241-3 |
| work_keys_str_mv | AT athanasiosgpegios coexistenceofmorgagniscystwithatwistedvasaberransandbellclapperdeformityina15yearoldboyacasereport AT apostolospandronikou coexistenceofmorgagniscystwithatwistedvasaberransandbellclapperdeformityina15yearoldboyacasereport AT ioannischgeorgakis coexistenceofmorgagniscystwithatwistedvasaberransandbellclapperdeformityina15yearoldboyacasereport AT georgespapouis coexistenceofmorgagniscystwithatwistedvasaberransandbellclapperdeformityina15yearoldboyacasereport |