Egbuchulem K I, Ishola A A, Onwurah C O
Division of Paediatric Surgery, Department of Surgery, University College Hospital, Ibadan.
Division of General Surgery, Department of Surgery, University of Ibadan, Ibadan.
Ann Ib Postgrad Med. 2024 Dec 31;22(3):127-129.
Torsion of hydatid of Morgagni (appendix testis) is one of the causes of acute scrotum. However, it can be distinguished from testicular torsion by its insidious onset and localizable tenderness. In addition, colour doppler ultrasonography has characteristic findings in torsion of hydatid of Morgagni. We present a case of torsion of hydatid of Morgagni which was of sudden onset, and had clinical features mimicking testicular torsion which warranted immediate scrotal exploration. Intra-operative finding was torsion of appendix testis as against the clinical presentation suggestive of testicular torsion. Acute scrotum being a time dependent emergency may not allow time for doppler ultrasonography which will differentiate torsion of appendix testis from testicular torsion thus preventing unnecessary scrotal exploration.
睾丸附件扭转是急性阴囊的病因之一。然而，它可通过起病隐匿和压痛部位可定位与睾丸扭转相鉴别。此外，彩色多普勒超声检查在睾丸附件扭转中有特征性表现。我们报告一例睾丸附件扭转，起病突然，具有类似睾丸扭转的临床特征，需要立即进行阴囊探查。术中发现为睾丸附件扭转，而临床表现提示为睾丸扭转。急性阴囊是一种时间依赖性急症，可能没有时间进行多普勒超声检查以区分睾丸附件扭转和睾丸扭转，从而避免不必要的阴囊探查。
Zotero 插件
