acute scrotum

Question 1

most commonly caused by

Answer 1

torsion of the testicular appendage which is rotation of the testicular appendix around its own axis causing ischaemia

Question 2

what is the testicular appendage

Answer 2

the appendix testis (or hydatid of morgagni) is a vestigial remnant of the mullarian duct

Question 3

symptoms of torsion of the testicular appendage

Answer 3

testicular pain, oedema of scrotum, blue dot sign

Question 4

torsion of the testicular appendage

Answer 4

can mimic testicular torsion so you may have to do a doppler ultrasound to rule it out but they are completely different and torsion of the testicular appendage is self-limiting only requiring conservative management

Question 5

testicular torsion is

Answer 5

a surgical emergency

Question 6

what is testicular torsion

Answer 6

twisting of the testis causing torsion of the spermatic cord and occlusion of the testicular artery causing ischaemia and necrosis

Question 7

symptoms of testicular torsion

Answer 7

sudden onset severe pain in the affected testi, nausea vomiting and redness of scrotum

Question 8

investigations for testicular torsion

Answer 8

doppler ultrasound

Question 9

management of testicular torsion

Answer 9

emergency surgery

Question 10

other causes of acute scrotal pain

Answer 10

epidydymitis, orchitis, acute idiopathic scrotal oedema

Question 11

epidydymitis

Answer 11

inflammation of the epididymis most commonly caused by an STI and usually resolves with antibiotics

Question 12

orchitis

Answer 12

inflammation of the testes most often caused by a bacteria or virus but most commonly associated with mumps

Question 13

acute idiopathic scrotal oedema

Answer 13

self-limiting condition which causes marked oedema of the skin and dartos fasciae but does not involve anything deeper or the testis or epididymis