Kharsa Ahmad, Saenz Rios Florentino, Nguyen Quan D
Department of Radiology, University of Texas Medical Branch, Galveston, USA.
Cureus. 2021 Feb 18;13(2):e13412. doi: 10.7759/cureus.13412.
The epididymal appendage, or the appendix epididymis, is a developmental remnant of the mesonephric duct that sprouts from the head of the epididymis. Due to its pedunculated anatomical configuration, the epididymal appendage is prone to torsion and can become a rare cause of an acute scrotum. Given its often challenging and atypical presentation, high clinical suspicion and Doppler ultrasonography are needed to guide diagnosis. We report a challenging case of epididymal appendage torsion that required prompt surgical exploration to accurately diagnose. Awareness of this condition and its radiological findings can play an important role in reaching an accurate diagnosis and avoiding surgical intervention.
附睾附件，即附睾 appendix，是从中肾管发育而来的残余物，从附睾头部发出。由于其带蒂的解剖结构，附睾附件容易发生扭转，并可能成为急性阴囊的罕见病因。鉴于其临床表现往往具有挑战性且不典型，需要高度的临床怀疑和多普勒超声检查来指导诊断。我们报告一例具有挑战性的附睾附件扭转病例，需要及时进行手术探查以准确诊断。认识到这种情况及其影像学表现对于准确诊断和避免手术干预具有重要作用。
