Case from Ballarat Base Hospital, Victoria - Epididymal cavernous haemangioma mimicking testicular torsion

Epididymal haemangioma represents a rare aetiology of paratesticular masses. Here, we report a case of a 15-year-old adolescent who presented with acute onset left testicular pain and swelling. The patient underwent urgent scrotal exploration, which revealed a necrotic left testis, leading to subsequent orchidectomy. Pathological examination revealed a diffusely haemorrhagic testis with irregular collection of dilated vessels throughout the epididymis, in keeping with a cavernous haemangioma. This case highlights epididymal cavernous haemangioma as a rare cause of acute scrotal symptoms mimicking torsion.