Case 6 : Torsion of Testicular Appendix

Torsion of a testicular/epididmis appendix is the most common cause of acute scrotal pain in pre-pubertal boys. Signs and Symptoms: Same clinical findings as of epididymitis or testicular torsion Blue dot sign superior to testis

Torsion of a testicular/epididmis appendix is the most common cause of acute scrotal pain in pre-pubertal boys.

Signs and Symptoms:

• Same clinical findings as of epididymitis or testicular torsion
• Blue dot sign superior to testis

USG findings:

• Avascular, solid, ovoid mass with a variable sized hypoechoic centre and a hyperechoic rim adjacent to superior aspect of testis
• Reactive hydrocele, scrotal skin thickening, testicular and epididymal enlargement may be seen

Treatment: Mosttorsiveappendices atrophy with resultant resolution of symptoms with supportive care

Figure 1

Figure 2