Torsion of paradidymis or Giraldés' organ: An uncommon cause of acute scrotum in pediatric age group
✍ Scribed by C. Orazi; G. Fariello; S. Malena; S. Caterino; F. Ferro
- Publisher
- John Wiley and Sons
- Year
- 1989
- Tongue
- English
- Weight
- 373 KB
- Volume
- 17
- Category
- Article
- ISSN
- 0091-2751
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✦ Synopsis
The paradidymis or Giraldes' organ, or Henle's paraepididymis, is rarely found at autopsy, and even more rarely is it recognized clinically. It derives from the most caudal portion of the mesonephric duct, and the most frequently observed pathological alterations are cystic transformation and torsion, the latter being a possible cause of acute scrotum.
During 1987, 132 patients aged from 1 day to 14 years were admitted to our hospital with acute scrotum.
We found -64 torsions of testicular and epididymal ap--21 torsions of spermatic cord (15.9%),
-11 orchiepididymitis (8.3%), -1 traumatic injury (0.8%), -4 acute idiopathic scrotal edemas (3.0%),
-1 tumor (cystic teratoma) (0.8%), -1 epididymal cyst (0.8%), and -27 strangulated inguinal hernias (20.4%).
Only 2 cases of Giraldes' organ torsion were pendages (48.5%),
found (1.5%).
Case 1
A 2-year-old boy (M.C.) was admitted with an 8day history of painless nontender swelling of the right hemiscrotum. The patient was afebrile.
One month before a similar enlargement of the right hemiscrotum, associated with slight fever, resohed spontaneously. On examination, a 1.5 crn painless nodule was felt above the testis. It was mobile under the From the Departments of