Torsion of appendix of testis
Management is typically noninvasive, including analgesia, bed rest, and scrotal support.
Excluding alternative etiologies that may warrant more expedited emergency attention (eg, testicular torsion) is of paramount importance.
N44.03 – Torsion of appendix testis
198047009 – Torsion of appendix of testis
Differential Diagnosis & Pitfalls
- Testicular torsion – Cremasteric reflex can be absent; will have testicular tenderness. This is a surgical emergency.
- Acute appendicitis – Typically with anorexia and right lower quadrant abdominal pain that will migrate towards the umbilicus, but patients with a retrocecal appendix can present with inguinal / testicular pain.
- Inguinal hernia with incarceration – Surgical emergency if not reducible.
- Testicular trauma
- Immunoglobulin A vasculitis (Henoch-Schönlein purpura)