Cavernous hemangioma of the testis mimicking as torsion of testis: a case report.

Abstract

Introduction: Cavernous hemangiomas are diagnosed by dilated large vessels with thin walls. Intra-testicular hemangiomas are a rare entity, and often mimic testicular malignancy or may present as testicular torsion.Case Report: 18 year old male presented with a month-long history of lower abdominal pain and clinical examination revealed only a mildly enlarged, non-tender left testis. Ultrasonography of abdomen and scrotum suggested avascular hypoechoic left testis with hydro-hematocoele likely secondary to torsion of testis. A probable diagnosis of torsion of testis was made and the patient underwent left orchiectomy. Microscopic examination of the tumor revealed a cav¬ernous hemangioma composed of variably sized, clot-filled cavernous spaces separated by fibrous tissue and leading to hemorrhagic necrosis of the testicular parenchyma. Conclusion:Clinicians need to consider the possibility of the rare but benign lesion, testicular hemangioma, in young patients presenting with testicular mass and/or pain, along with normal tumour markers and increased intralesional vascularity on imaging.

Testicular cavernous hemangioma associated with testicular torsion – case report and review of literature

“…To our knowledge there is no report in the English medical literature up to this date which associates a testicular cavernous hemangioma with a testicular torsion at the age of 15 years or below. There is a report of a young man 18 years of age with a cavernous hemangioma mimicking testicular torsion [ 18 ], and also a report of a man 22 years of age with a hemangioma and testicular torsion [ 7 ].…”