Torsion of testicular appendage
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KeywordsHydrocele Testicular Torsion Hypoechoic Mass Scrotal Skin Scrotal Pain
Testicular appendages are remnants of the embryonic mesonephric and paramesonephric ducts. Torsion of testicular appendage is a common cause of acute scrotal pain in prepubertal males . A firm nodule superior to the testicle with bluish discoloration of the skin (blue dot sign) is a characteristic physical finding. US findings are typical as described above. Other associated findings are scrotal skin thickening and reactive hydrocele [1, 2]. US is usually done to rule out testicular torsion and epididymo-orchitis. Management is essentially conservative.