{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:59:15Z","timestamp":1762869555033,"version":"3.41.2"},"reference-count":19,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T00:00:00Z","timestamp":1748217600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:p>Torsion of an enlarged epididymal cyst (EC) represents an uncommon yet critical differential diagnosis in acute scrotal emergencies. Large ECs, particularly those localized to the epididymal head, demonstrate diminished anatomical stability due to their superior positioning and increased mobility, rendering them susceptible to torsion under predisposing conditions. This mechanical disruption precipitates elevated intracystic pressure, compromised vascular perfusion, and subsequent infective complications, necessitating urgent surgical intervention. We present a case of a 12-year-old male who presented with left scrotal swelling and pain persisting for 48\u2005h. Initial clinical evaluation suggested spermatic cord torsion concomitant with hydrocele, prompting emergency exploration. Intraoperative findings unexpectedly revealed a torsioned giant cyst (5.2\u2009\u00d7\u20093.8\u2005cm) originating from the left epididymal head. Successful detorsion followed by complete cyst excision was performed while preserving testicular integrity and epididymal architecture. Histopathological analysis confirmed the lesion as a mesonephric duct remnant cyst.<\/jats:p>","DOI":"10.3389\/fped.2025.1605254","type":"journal-article","created":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T05:17:47Z","timestamp":1748236667000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Torsion of a giant epididymal cyst in a pediatric patient: a rare cause of acute scrotal pain\u2014case report and literature review"],"prefix":"10.3389","volume":"13","author":[{"given":"Chenghao","family":"Zhanghuang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinrong","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Na","family":"Long","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiong","family":"Duan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fengming","family":"Ji","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yucheng","family":"Xie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhen","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bing","family":"Yan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,5,26]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"20","DOI":"10.4081\/pmc.2018.162","article-title":"Torsion of huge epididymal cyst in a 16-year-old boy: case report and review of the literature","volume":"40","author":"Bleve","year":"2018","journal-title":"Pediatr Med Chir"},{"key":"B2","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1111\/j.1442-2042.2003.00764.x","article-title":"Torsion of an epididymal cyst","volume":"11","author":"Yilmaz","year":"2004","journal-title":"Int J Urol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1455866","DOI":"10.3389\/fped.2024.1455866","article-title":"Epididymal cysts in children: frequency, clinical characteristics, and management strategies","volume":"12","author":"Cai","year":"2024","journal-title":"Front Pediatr"},{"key":"B4","doi-asserted-by":"publisher","first-page":"2153","DOI":"10.1016\/j.jpedsurg.2013.01.058","article-title":"Management of epididymal cysts in childhood","volume":"48","author":"Erikci","year":"2013","journal-title":"J Pediatr Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1274","DOI":"10.1097\/01.ju.0000110322.87053.99","article-title":"Epididymal cysts in children: natural history","volume":"171","author":"Homayoon","year":"2004","journal-title":"J Urol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"22","DOI":"10.4081\/pmc.2019.210","article-title":"A rare cause of acute scrotum in a child: torsion of an epididymal cyst. 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