PMC5143718_01
Enlargement of left hemiscrotum and a painful, palpable cystic mass.
CRIPE2016-7236104.001.jpg
PMC5143718_01_CRIPE2016-7236104.001.jpg
fig1
The left hemiscrotum was enlarged (Figure 1), without erythema, but with a palpable, tender cystic mass.
US showing a cystic mass and normal left testis.
CRIPE2016-7236104.002.jpg
PMC5143718_01_CRIPE2016-7236104.002.jpg
fig2
Ultrasonography (US) revealed an encapsulated cystic mass with heterogeneous echogenicity near the normal left testis (Figure 2).
Left scrotum surgical exploration showing hydrocele filled with bloody fluid and rotated 360 degrees (arrow), with normal testis and epididymis.
CRIPE2016-7236104.003.jpg
PMC5143718_01_CRIPE2016-7236104.003.jpg
fig3
We found a hydrocele with a 360-degree rotation of the distal end, filled with bloody fluid and without communication to the testis and epididymis, both detected as normal (Figure 3).