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

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-hematocele 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 cav­ernous 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 intra-lesional vascularity on imaging. DOI: 10.21276/APALM.1054