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Torsion of Morgagnia Sessile Hydatide in Adults: Differential Diagnosis of Spermatic Cord Torsion

Introduction: Morgagni’s hydatide is an embryonic remnant of the testicle. Its torsion is an often revealing complication, occurring especially in children. The treatment is medical but surgical removal is necessary in case of diagnostic doubt. The diagnostic and therapeutic aspects of this condition encourage us to report this case operated at the CHU Ibn Rochd in Casablanca. Patient and Observation: Mr Y.I, 25 years old, followed for varicocele left grade II never operated with antecedent right orchiepididimite treated, he consulted for right testicular pain evolving for 6 hours. Surgical exploration objectified a twisting of the Morgagni sessile hydatide with a normal looking pediculated Morgagni hydatid. The removal of necrotic sessile hydatide is performed. The patient is out the next day. Conclusion: The torsion of the Morgagni hydatide is a common diagnosis of painful acute bursa, rarely found in adults. The diagnosis is ultrasound. The treatment is medical. Surgical exploration and excision occur when in doubt.