Torsion of appendix of testis
Alerts and Notices
Synopsis

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.
Codes
ICD10CM:N44.03 – Torsion of appendix testis
SNOMEDCT:
198047009 – Torsion of appendix of testis
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
Torsion of the testicular appendage is a benign, although painful, condition. It is most important to exclude other conditions that can present similarly in some circumstances.- 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
- Hydrocele
- Epididymo-orchitis
- Immunoglobulin A vasculitis (Henoch-Schönlein purpura)
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Therapy
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References
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Last Reviewed:04/14/2019
Last Updated:10/10/2022
Last Updated:10/10/2022