Olulana D I, Egbuchulem K I, Ishola A A, Adamo O S, Ajani M A, Okeke S
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. 2025 Mar 31;23(1):125-128.
Torsion of the appendix of the epididymis is a rare cause 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 the testicular appendage.
We present a case of a 9-year-old male presenting with sudden onset left hemi-scrotal pain, and had clinical features mimicking testicular torsion with consequent immediate scrotal exploration. Intra-operative finding was in keeping with torsion of the epididymal appendage as against the earlier clinical presentation suggestive of testicular torsion.
Acute scrotum being a time dependent emergency may in some circumstance not allow time for Doppler ultrasonography which will differentiate torsion of epididymal appendix from testicular torsion, and thus preventing unnecessary scrotal exploration.
附睾附件扭转是急性阴囊罕见的病因。然而，它可通过起病隐匿和压痛部位局限与睾丸扭转相鉴别。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9岁男性，突发左侧阴囊疼痛，临床特征类似睾丸扭转，因此立即进行了阴囊探查。术中发现符合附睾附件扭转，与早期提示睾丸扭转的临床表现不符。
急性阴囊是一种时间依赖性急症，在某些情况下可能没有时间进行多普勒超声检查以区分附睾附件扭转和睾丸扭转，从而避免不必要的阴囊探查。
