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August 1988

Torsion of Testicular Appendixes as the Most Frequent Cause of Acute Scrotal Inflammation in Infancy

Author Affiliations

Facultad de Medicina Universidad de Zaragoza Departmento de Pediatría y Sevicio de Urología Hospital Clínico Universitario Avda San Juan Bosco, 15 50.009-Zaragoza Spain

Am J Dis Child. 1988;142(8):810. doi:10.1001/archpedi.1988.02150080016001

Sir.—One cause of scrotal edema and hyperemia in children is torsion of the hydatid of Morgagni.1 It usually manifests itself with pain that is sharp in the beginning, continuous or intermittent, frequently of moderate intensity, and located in the superior focus of the testicle, although on occasion it is felt in the groin or iliac fossa of the affected side. It progresses in an irregular manner in the following hours or days. The patient usually does not present with vomiting, fever, or urinary symptoms. Sometimes there is a history of previous episodes of recurrent testicular pain.2 Surgical exploration and treatment usually is performed because the clinical picture is similar to that of torsion of the spermatic cord.

Patient Reports.—We studied 28 patients diagnosed as having torsion of the testicular appendix, whose ages varied from 3 years 4 months to 14 years, from 1981 to 1987, which

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