This blue dot sign is present in 10% to 23% of patients with torsion of the appendix testis. 34,42 Over time, scrotal edema can obscure the physical findings. [aafp.org]

Mild hydrocele may or may not be present. [sumerdoc.blogspot.com]

Background Torsion of testicular appendages can result in the clinical presentation of acute scrotum. [emedicine.medscape.com]

Torsion can present with varying degrees of rotation, which may explain the diverse clinical presentations encountered. [racgp.org.au]

These presentations are often prepubertal. Patients will present with sudden onset pain (more moderate in severity) and located midline in the scrotum. A “ blue dot sign ” is considered pathognomonic. [emdocs.net]

• Gangrene

  Fournier's gangrene of the scrotum. Infectious conditions within the scrotal wall are also classified under the acute scrotum and include cellulitis and fasciitis (gangrene). [auanet.org]

  […] is a polymicrobial necrotizing fasciitis of the scrotum that can extend to the lower abdominal wall. 4 The diagnosis of Fournier's gangrene is made when soft tissue air is seen as echogenic foci with shadowing within the scrotal tissues. [appliedradiology.com]

  The affected testes was removed and found to be gangrenous. Images taken using a Toshiba Xario color doppler and ultrasound machine, courtesy of Dr. Gunjan Puri, Surat, India. [ultrasound-images.com]

  In severe cases, complications such as necrosis and gangrenous testis may arise. In the case of torsion, salvage is time dependent with 96% success rates when perfusion is restored within 4 hours. [emdocs.net]

• Pathologist

  In: Sterneberg SS (ed) Histology for pathologists. Raven Press, New York, pp 744–746 Google Scholar Copyright information Authors and Affiliations D. Miliaras 1 G. Koutsoumis 2 E. Vlahakis-Miliaras 2 1. [link.springer.com]

• Inguinal Pain

  The physician needs to be aware that an embarrassed child may state that he has lower abdominal or inguinal pain rather than scrotal pain. A child may also minimize his symptoms out of fear. [aafp.org]

• Disability

  Please enable JS and disable any ad blocker [patientcareonline.com]

• Cough

  Inguinal hernia is suspected if swelling or pain above the scrotum worsens with coughing, sneezing, movement, or lifting. This condition is fairly common, especially in young boys, and it occasionally causes pain in the scrotal area. [healthcommunities.com]

• Fear

  We have already discussed the most feared cause of acute scrotal pain – Testicular Torsion. [pedemmorsels.com]

  A child may also minimize his symptoms out of fear. Therefore, the history should be corroborated with the parents' observation of the child's behavior. A history of trauma does not exclude the diagnosis of testicular torsion. [aafp.org]

  Although torsion of the contralateral testis is extremely rare, many clinicians, fueled by fear of litigation, have become more aggressive with surgical exploration to fix the contralateral side and prevent future torsion. [elearning.sumdu.edu.ua]

• Excitement

  A previous study reported that the sexual response cycle (excitement, plateau, orgasm, and resolution) in young males is associated with cremasteric contraction during sleep, which could result in TT. 16 In the present study, the ambient temperature was [dovepress.com]

• Testicular Pain

  Background : Management of chronic idiopathic testicular pain may be difficult because of problems identifying the causes. [pubfacts.com]

  Case 4 was a 19-year-old male who suffered from right testicular pain for the past seven days. He had a history of three intermittent episodes of similar right testicular pain during the past two years. [ncbi.nlm.nih.gov]

  Testicular and Scrotal Conditions The Acute Scrotum Torsion of the Appendix Testis or Epididymis The presentation of a patient with torsion of the appendix testis (ie, acute testicular pain and swelling) is similar to that of a patient with testicular [aafp.org]

  CLINICAL INDICATIONS The clinical indications for point-of-care testicular ultrasound are as follows: Acute testicular pain Acute scrotal mass Trauma ACUTE TESTICULAR PAIN The most serious cause of acute testicular pain is testicular torsion. [radiologykey.com]

  PREOPERATIVE DIAGNOSIS: Right testicular pain. POSTOPERATIVE DIAGNOSIS: Right hydrocele, right appendix testis. [supercoder.com]

• Scrotal Mass

  Anorchia (Medical Encyclopedia) Hydrocele (Medical Encyclopedia) Hydrocele repair (Medical Encyclopedia) Hypogonadotropic hypogonadism (Medical Encyclopedia) Orchitis (Medical Encyclopedia) Scrotal masses (Medical Encyclopedia) Testicle lump (Medical [icdlist.com]

  A 16-HOUR-OLD boy was found to have a scrotal mass, on his initial physical examination. Exploration at 18 hours of age revealed a necrotic appendix testis (hydatid of Morgagni). [jamanetwork.com]

  […] edema, Acute scrotum – vasculitis, Henoch-Schonlein Purpura, Acute scrotal pain – US, Algorithm, Acute scrotum – trauma, Hematocele, Testicular hematoma, Trauma, Testicular fracture, Scrotal mass, Testicular tumors, Testicular tumors – imaging, Testicular [sonoworld.com]

  This technique holds great promise as an educational tool that could quickly increase clinician confidence and expand the use of point-of-care testicular ultrasound. 19 ACUTE SCROTAL MASS Painless scrotal masses are unlikely to represent an acute disease [radiologykey.com]

• Swelling of the Scrotum

  Sonography of the scrotum was done in this child who had acute swelling of the scrotum and penis. [ultrasound-images.com]

  Diagnosis Any swelling in the scrotum is torsion of the testis until proven otherwise. The child must be seen immediately because time is critical in trying to salvage the testis. Usually the diagnosis is made clinically. [pedclerk.bsd.uchicago.edu]

  Presentation Acute swelling of the scrotum in a boy indicates torsion of the testis until proven otherwise. [patient.info]

  H ydroc ele A hydrocele is the most common cause of scrotal swelling. The normal scrotum contains small amounts of serous fluid between the layers of the tunica vaginalis. [acep.org]

  Differential Diagnosis of the Acute Scrotum A list of potential medical conditions that can present as acute pain or swelling of the scrotum are found in Table 1. Table 1. [auanet.org]

• Testicular Mass

  Microcalcifications associated with a testicular mass in a 32-year-old male with a non-tender left scrotal mass. A, B. [e-ultrasonography.org]

  CLINICAL INDICATIONS The clinical indications for point-of-care testicular ultrasound are as follows: Acute testicular pain Acute scrotal mass Trauma ACUTE TESTICULAR PAIN The most serious cause of acute testicular pain is testicular torsion. [radiologykey.com]

  Other testicular tumors include gonadal stromal tumors, lymphoma, leukemia, and metastases. 2 The differential diagnosis of focal testicular mass includes hematoma, abscess, focal orchitis, infarction, and granulomatous disease. [appliedradiology.com]

  The rapidly increasing testicular mass in the peripubertal male increases the chance of testis rotation. 3, 13 With respect to TAT, several studies have reported that the age for peak incidence of TAT is significantly younger than that of peripubertal [dovepress.com]

• Testicular Disease

  The ICD code N44 is used to code Testicular disease Testicular diseases can be classified as endocrine disorders or as a disorders of the reproductive system. [icd.codes]

  Research of Torsion Of Appendix Of Epididymis has been linked to Spermatic Cord Torsion, Edema, Torsion Abnormality, Testicular Diseases, Pain In Scrotum. [novusbio.com]

Testicular torsion is doubtful, and no further workup is indicated. Patients may be treated with narcotic analgesics if needed (nonsteroidal anti-inflammatory drugs [NSAIDs] if not contraindicated) and antibiotics. [aneskey.com]

Owing to the local policy during the study period, CDUS was not yet a part of the diagnostic workup of the acute scrotum. [dovepress.com]

Acute testicular torsion in children: the role of sonography in the diagnostic workup. Eur Radiol 2006;16:2527–32. Mirochnik B, Bhargava P, Dighe MK, Kanth N. Ultrasound evaluation of scrotal pathology. Radiol Clin North Am 2012;50:317–32, vi. [racgp.org.au]

• Chlamydia Trachomatis

  Gay Lesbian Bisexual and Transgender 370 Dysfunctional Uterine Bleeding 467 Pelvic Masses 479 Vaginitis and Vaginosis 491 Ectopic Pregnancy and Other Complications 499 Galactorrhea 506 Adolescent Breast Disorders 513 SEXUALLY TRANSMITTED DISEASES 542 Chlamydia [books.google.de]

  Prescribe ceftriaxone (Rocephin), 250 mg IM, in the clinic or emergency department, and a prescription for doxycycline (Vibramycin), 100 mg bid for 10 days, should eradicate Neisseria gonorrhoeae and Chlamydia trachomatis. [aneskey.com]

  Acute epididymitis is the most common cause of the above symptoms, believed to be due to ascending bacterial infection caused predominantly by Chlamydia trachomatis and Neisseria gonorrhea under the age of 35, and pathogenic urinary tract bacteria (e.g [bjfm.co.uk]

  Causes of epididymitis Sexually active men Chlamydia trachomatis Neisseria gonorrhoea Men >35 years of age Coliform bacteria ( Escherichia coli ) Children Enteroviruses Adenoviruses Mumps E. coli Chronic infection Mycobacterium tuberculosis Many of the [racgp.org.au]

This timely book offers a complete guide to the latest knowledge on the diagnosis and treatment of the full range of possible sports injuries. [books.google.de]

In most cases, testicular cancer can be cured if the person seeks medical treatment early. Surgical removal of the affected testicle (orchidectomy) is usually the first treatment for all testicular cancer. [betterhealth.vic.gov.au]

Improvement of the prognosis of patients with torsion of the spermatic cord needs an urgent surgical management of the patients. It also claims for the development of testicular parenchyma protective medical treatments. [infona.pl]

Torsion of testicular appendices is the leading cause of acute scrotum in children. [2, 3, 5, 6] Prognosis The prognosis is excellent. Long-term sequelae to this condition do not exist. Virtually all patients have uneventful recoveries. [emedicine.medscape.com]

Prognosis This will depend on the duration of torsion and the viability of the testis after detorsion has been performed. Some authors report decreased fertility when a testis is left in situ following a unilateral torsion. [pedclerk.bsd.uchicago.edu]

More than 50% of testicular ruptures occur from a direct blow to the groin during sporting activity. 4 Testicular injuries are surgical emergencies with good prognosis if treated within 72 hours. [appliedradiology.com]

Subfertility is found in 36-39% of patients after torsion. [ 4 ] Prognosis The extent and duration of torsion have a major influence on both the immediate salvage rate and late testicular atrophy. [patient.info]

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]

The 3 most common etiologies of acute scrotal pain in the pediatric age group are epididymitis, torsion of the appendix testis, and testicular torsion. [scholars.northwestern.edu]

Tandoğan, Gideon Mann, René Verdonk Springer Science & Business Media, 07.11.2011 - 1247 Seiten In recent years, research studies into sports injuries have provided healthcare professionals with a better understanding of their etiology and natural history [books.google.de]

Torsion of the appendix testis is a common cause of acute scrotal pain in children. [ Boettcher, 2013 ; Sakellaris, 2008 ] Etiology of torsion is unknown. Usually occurs in boys 7-14 years of age. More common than epididymitis in children. [pedemmorsels.com]

A urinalysis is sometimes obtained to access for pyuria or bacturia which would suggest an infectious etiology. [clinicaladvisor.com]

Epidemiology Most common in boys under age 3-5 years up to age 12 years old III. Differential Diagnosis IV. [fpnotebook.com]

Abstract Objective To evaluate the epidemiologic, diagnostic and therapeutic features of testicular torsion in adults aged 15 years and older. [bacandrology.biomedcentral.com]

Epidemiology Testicular torsion is a common urological emergency among adolescent boys and young men. The condition typically occurs in neonates or post-pubertal boys but can occur in males of all ages. [patient.info]

Epidemiology Frequency United States Torsion of testicular appendices is one of the most common causes of acute scrotum; it is the leading cause of acute scrotum in children. [emedicine.medscape.com]

Definition and epidemiology Testicular torsion is ischaemia of the testicle due to rotation along the longitudinal axis of the spermatic cord. [racgp.org.au]

Pathophysiology During development, the testicle becomes invested by the tunica vaginalis, to which it is fixed inferiorly by the gubernaculum testis. [pedclerk.bsd.uchicago.edu]

Testicular torsion must be diagnosed quickly and accurately, because delay of the diagnosis and subsequent delay of surgery, if needed, can lead to loss of testicular viability and orchidectomy. [1] Pathophysiology The vestigial tissues forming the appendices [emedicine.medscape.com]

Pathophysiology The vestigial tissues forming the appendices are commonly pedunculated and are structurally predisposed to torsion. Torsion of an appendage leads to ischemia and infarction. [elearning.sumdu.edu.ua]

Prevention of bacterial endocarditis. ‎ [books.google.de]

This is to help prevent severe problems. During surgery, the health care provider will be able to see if the condition is testicular appendage torsion. [saintlukeshealthsystem.org]

Torsion of the other testicle can't be prevented by changes in activity or by taking medicine. Only sewing stitches around the testicle will prevent future torsion. [practo.com]