{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T06:38:05Z","timestamp":1762843085165,"version":"build-2065373602"},"reference-count":35,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"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. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Epididymal cysts are common benign lesions that typically present as painless scrotal masses. They predominantly occur in adult males but can also be found in adolescents, albeit with a higher likelihood of being overlooked at this age. Most patients experience relief or complete resolution of symptoms following conservative treatment. However, large cysts pose a risk of torsion. Torsion of an epididymal cyst in adolescents is clinically rare, with only a few reported cases to date, presenting diagnostic challenges for clinicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case descriptions<\/jats:title>\n                    <jats:p>We report three cases of epididymal cysts in adolescents. Case 1 involved an asymptomatic cyst treated with aspiration, demonstrating significant cyst reduction at 4-month follow-up. Case 2 presented a persistent simple cyst managed by elective surgical excision with pathological confirmation after prolonged surveillance showed no resolution. Case 3 presented acutely with pain and suspected torsion on scrotal ultrasound, requiring emergency surgical intervention that revealed a 720\u00b0 torsion of the epididymal cyst combined with 180\u00b0 testicular torsion, treated testis detorsion and cyst excision. All cases achieved favorable outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Epididymal cysts in adolescents warrant a tailored management strategy. While aspiration or elective excision are effective for non-acute cases, the potential for synchronous testicular torsion necessitates a high index of suspicion and prompt surgical exploration in acute presentations to preserve testicular viability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2025.1660670","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T06:33:12Z","timestamp":1762842792000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Adolescent epididymal cysts: three management approaches including a rare synchronous epididymal cyst and testicular 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