BMJ Case Reports 2011; doi:10.1136/bcr.05.2011.4170
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An epidermoid cyst presenting as testicular torsion in a patient with tri-orchidism

  1. Ted Mc Dermott
  1. Department of Urology, St. James’s Hospital, Dublin, Ireland
  1. Correspondence to Deirdre Mary Fanning, fanningdee{at}


A 38-year-old male presented to the emergency department with acute onset of scrotal pain. The pain was excruciating. A prior scrotal ultrasound was consistent with polyorchidism (figures 1 and 2). Clinical examination revealed a markedly distressed tearful man. Scrotal inspection showed three distinct scrotal masses, all of equivalent size, consistent with testes (figures 3 and 4). The reported third testis was located in the left …

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