Torsion of Testicular Appendages

The most common testicular appendage susceptible to torsion is the appendix testis, which is a remnant of the Mullerian duct. Presentation is usually the same as that for testicular torsion. Patients are most often adolescents and present with the sudden onset of orchalgia. Occasionally, early in the course of the process, before edema has developed, it is possible to palpate the twisted appendage as a small (3- to 5-mm) tender area or mass close to the upper pole of the testis. Also, rarely, a blue dot sign maybe seen through the skin of the scrotum, corresponding to a torsed, ischemic testicular appendage. As time passes, edema develops, thus making physical examination impossible, which usually requires an ultrasound examination to evaluate whether testicular torsion is present.

Management, if the diagnosis is certain, consists of supportive care, with the liberal use of analgesic, in the form of anti-inflammatory medications. If diagnosis is uncertain, meaning that testicular torsion is suspected, then exploration is mandatory (Fig. 12.5).

Back Pain Relief

Back Pain Relief

This informational eBook will present you with the most recent research and findings available so that you can learn more about Back Pain relief, covering as many bases as possible from A to Z.

Get My Free Ebook


Responses

  • michael eberhardt
    What is testicular appendage?
    7 years ago

Post a comment