{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T06:25:49Z","timestamp":1746339949061,"version":"3.40.4"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,7,30]]},"abstract":"<jats:p>We, herein, present a male neonate with an antenatally detected intra-abdominal cyst who presented at 18 days of life at which time, the ultrasound revealed a 5\u00d74 cm cyst. Since he was asymptomatic, we planned to repeat the ultrasound a month later and operate if the cyst showed no regression. However, a week later, he presented with an acute abdomen, irritable cry and a repeat ultrasound showing a larger (8\u00d76\u2009cm) cystic mass with debris within. He was taken up for an emergency laparotomy. Intraoperatively, the cyst was found arising from the left lateral abdominal wall free from all structures with a twisted pedicle. Histopathology surprisingly revealed seminiferous tubules within the cyst wall with the vas deferens, thus confirming the diagnosis of a torsion of intra-abdominal testis. Hence, we emphasise the importance of examining for an undescended testis when dealing with a male neonate presenting with a cystic intra-abdominal mass.<\/jats:p>","DOI":"10.1136\/bcr-2017-220474","type":"journal-article","created":{"date-parts":[[2017,8,8]],"date-time":"2017-08-08T13:35:21Z","timestamp":1502199321000},"page":"bcr-2017-220474","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Twisted intra-abdominal cyst in a neonate: a surprise revelation"],"prefix":"10.1136","volume":"2017","author":[{"given":"Ferzine","family":"Mohamed","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramesh Babu","family":"Telugu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Immanuel Sampath","family":"Karl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,8,8]]},"reference":[{"key":"2025042712270284000_2017.aug08_2.bcr-2017-220474.1","doi-asserted-by":"crossref","first-page":"1265","DOI":"10.3109\/14767058.2015.1044430","article-title":"Surgically managed perinatal testicular torsion: a single centre experience","volume":"29","author":"Abraham","year":"2016","journal-title":"J Matern Fetal Neonatal Med"},{"key":"2025042712270284000_2017.aug08_2.bcr-2017-220474.2","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1159\/000318191","article-title":"Perinatal outcomes of fetal abdominal cysts and comparison of prenatal and postnatal diagnoses","volume":"28","author":"Ozyuncu","year":"2010","journal-title":"Fetal Diagn Ther"},{"key":"2025042712270284000_2017.aug08_2.bcr-2017-220474.3","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.ajur.2016.05.007","article-title":"Testicular torsion in undescended testis: A persistent challenge","volume":"4","author":"Naouar","year":"2017","journal-title":"Asian J Urol"},{"key":"2025042712270284000_2017.aug08_2.bcr-2017-220474.4","first-page":"126","article-title":"Torsion of an intra-abdominal testicle in a neonate. 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