PMC7704176_01
Ultrasound image of right testis with epididymal cyst* (on acute presentation).
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fig1
Urgent sonography with Doppler showed a septate cystic lesion of right epididymis, sized 4.1  cm x 1.7  cm (Figure 1) along with bilateral normally echogenic and perfused testes.
Twisted right Epididymal cyst with normal testis.
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The lesion appeared to be attached to the upper pole of right testis and was twisted for 540 degrees (Figure 2).
Untwisted hemorrhagic right Epididymal cyst.
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Cyst was untwisted (Figure 3) and excised, and the testis was fixed.
(a) Low and (b) high power views of the epididymal cyst wall with columnar epithelium showing congestion and haemorrhage.
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fig4
Histopathological assessment revealed haemorrhagic EC (Figure 4).