Torsion of the appendix testis is not an uncommon cause of scrotal pain and swelling, and is frequently misdiagnosed as epididymitis or orchitis. The etiology remains obscure. Prompt surgical intervention is warranted almost without exception, to both rule out the more serious possibility of torsion of the spermatic cord, and for prompt relief of the symptoms and local tissue reaction which result in obstructed fertility of the affected testis.
Simon HB, Larkin PC. Torsion of the Appendix Testis: Report of 13 Cases. JAMA. 1967;202(9):906–907. doi:10.1001/jama.1967.03130220094024
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