TORSION OF TESTICULAR APPENDAGE

Question 1

Etiology

Answer 1

92% Appendix Testes

8% Appendix Epididymis

Question 2

Clinical Features

Answer 2

Present with pain localized to the hemiscrotum
“Blue Dot” sign:
Area of bluish discolouration on scrotal wall
Because of cyanotic appendage below
Not always present

Question 3

Workup

Answer 3

Often diagnosed during ultrasound work up of testicular torsion

Question 4

Management

Answer 4

Analgesia

Appendate will auto-amputate in a week and symptoms will resolve