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Case Reports in Pediatrics
Volume 2016, Article ID 7236104, 3 pages
Case Report

Torsion of a Communicating Hydrocele Presented as Acute Scrotum: A Case Report and Literature Review

1Department of Surgery, Division of Pediatric Surgery, Medical School of Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil
2Division of Pediatric Surgery, Instituto de Pediatria e Puericultura Martagão Gesteira, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil

Received 28 June 2016; Accepted 3 November 2016

Academic Editor: Georg Singer

Copyright © 2016 Ivonete Siviero et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Torsion of a communicating hydrocele is extremely rare, and the cause is unclear. We report the case of a 3-year-old boy referred to us with acute scrotum. Operative findings revealed torsion of a communicating hydrocele with a 360-degree rotation of the distal end. We performed surgical excision of the necrotic cystic mass and high ligation of the peritoneal communication. A high index of suspicion is required for the correct diagnosis and treatment of this condition, which should be included among the causes of acute scrotum in childhood.