Journal List > Korean J Urol > v.47(11) > 1069798

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Oh, Ko, Yang, Kim, Lee, Lee, Hwang, and Choi: Torsion of the Testicular Appendix in Undescended Testis
Case Report
Korean Journal of Urology

Korean Journal of Urology 2006; 47(11): 1243-1245.

Published online: 30 November 2006

DOI: https://doi.org/10.4111/kju.2006.47.11.1243

Torsion of the Testicular Appendix in Undescended Testis

Jae Rock Oh, Dong Soo Ko, Dong Hwan Yang, Jin Bum Kim, Seong Ho Lee, Sang Kon Lee, Im Kyung Hwang1, Young Hee Choi2

Department of Urology, College of Medicine, Hallym University, Seoul, Korea.

1Department of Radiology, College of Medicine, Hallym University, Seoul, Korea.

2Department of Pathology, College of Medicine, Hallym University, Seoul, Korea.

Corresponding author (shleeuro@hallym.ac.kr)

Received 3 July 2006       Accepted 18 September 2006

Copyright © 2006 The Korean Urological Association

Abstract

Torsion of the testicular appendix is a common cause of acute scrotum, and occurs during the prepubertal years. However, despite its high incidence, appendix torsion in undescended testis has rarely been reported. Herein, a rare case of torsion of the testicular appendix in an undescended testis is reported in a 9-year-old boy.

Keywords: Testis, undescended, Torsion

Figures and Tables

Fig. 1
Longitudinal color Doppler view of the symptomatic undescended testis shows complete absence of detectable testicular blood flow (A), the contralateral testis shows a few detectable blood flows (B).
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Fig. 2
Gross appearance of the undescended testis (T) and epididymis (E), with an enlarged testicular appendix (A).
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Fig. 3
The testicular appendix shows edematous stroma, with dilated vascular/lymphatic spaces (A) (H&E, ×100), the vascular spaces contains neutrophils (B) (H&E, ×400).
kju-47-1243-g003

References

1. Hong SW, Choi HY. The clinical experience of torsion of testicular appendix with acute scrotal pain. Korean J Urol. 1999. 40:901–904.
2. Williamson RC. Torsion of the testis and allied conditions. Br J Surg. 1976. 63:465–476.
3. Colt GH. Torsion of the hydatid Morgagni. Br J Surg. 1922. 9:464–465.
4. Krukowski ZH, Auld CD. Torsion of the appendix epididymis in a maldescended testis. Br J Urol. 1983. 55:244–245.
5. Palestro CJ, Manor EP, Kim CK, Goldsmith SJ. Torsion of a testicular appendage in an adult male. Clin Nucl Med. 1990. 15:515–516.
6. Burks DD, Markey BJ, Burkhard TK, Balsara ZN, Haluszka MM, Canning DA. Suspected testicular torsion and ischemia: evaluation with color Doppler sonography. Radiology. 1990. 175:815–821.
7. Atkinson GO Jr, Patrick LE, Ball TI Jr, Stephenson CA, Broecker BH, Woodard JR. The normal and abnormal scrotum in children: evaluation with color Doppler sonography. AJR Am J Roentgenol. 1992. 158:613–617.
8. Rakha E, Puls F, Saidul I, Furness P. Torsion of the testicular appendix: importance of associated acute inflammation. J Clin Pathol. 2006. 59:831–834.
9. Holland JM, Graham JB, Ignatoff JM. Conservative management of twisted testicular appendages. J Urol. 1981. 125:213–214.
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