Presentation
It is present about 90% of the time. It has no physiological function. [humpath.com]
Mild hydrocele may or may not be present. [sumerdoc.blogspot.com]
A further case is presented, complicated by infarction of the tube and ovary. SUMMARY 1. The term hydatid of Morgagni is defined and its embryology outlined. 2. [semanticscholar.org]
The clinical presentation of our patients was similar to the usual presentation of adnexal torsion, ie, acute localized abdominal pain and nausea. None had symptoms or signs of necrosis (ie, fever and leukocytosis). [journals.lww.com]
The appendix testis (or hydatid of Morgagni ) is a vestigial remnant of the Müllerian duct, present on the upper pole of the testis and attached to the tunica vaginalis. It is present about 90% of the time. [wikidoc.org]
Urogenital
- 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]
Abstract Out of 82 patients with acute swelling of the scrotum, 25 (30.5%) had hydatid torsion. Hydatid torsion was the second most common cause of acute scrotal swelling in the entire patient group. [ncbi.nlm.nih.gov]
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]
- Scrotal Mass
mass – either enlarged or atrophied Possible acute inflammation : swollen, erythematous (or blue discolored in venous engorgement), and tender hemiscrotum Testicular torsion should always be suspected in a male patient with severe, sudden-onset testicular [amboss.com]
May have scrotal edema and discoloration. Viral etiologies most common, but can also be bacterial (brucellosis). Incarcerated inguinal hernia – Pain with a scrotal mass. Bowel sounds may be present. HSP – acute or insidious onset of pain. [pedclerk.bsd.uchicago.edu]
The cremasteric reflex (L1/L2 spinal nerves) is elicited by gentle pinching or stroking of the inner thigh while observing the scrotal contents. If the torsion occurs prenatally, the baby is born with a firm, hard, non-transilluminable scrotal mass. [patient.info]
“Evaluation of scrotal masses.” American family physician 89.9 (2014). – DaJusta, Daniel G., et al. “Contemporary review of testicular torsion: new concepts, emerging technologies and potential therapeutics.” [emdocs.net]
- 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]
Exocrine and endocrine testicular function in patients with unilateral testicular disease. J R Soc Med. 1983 Aug. 76(8):649-51. [Medline]. [Full Text]. Ozkan KU, Küçükaydin M, Muhtaroglu S, Kontas O. [emedicine.medscape.com]
- 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]
On ultrasound, single or multiple hypoechoic masses or a solitary echogenic mass involving the epididymis or testis can appear. 9 Polyorchidism is rare and can range from testicular duplication alone to duplication of the epididymis or the spermatic cord [appliedradiology.com]
- Retrograde Ejaculation
ejaculation 608.89 Other specified disorders of male genital organs 608.9 Unspecified disorder of male genital organs This page was last updated on: 10/1/2014 [healthprovidersdata.com]
Workup
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]
Treatment
Comprehensive overview covers symptoms, treatment of this condition. [plannedrecognizing.gq]
Usually no treatment other than to manage pain is needed. How Boston Children's Hospital treats torsion of the appendix testis Because torsion of the appendix testis poses no threat to the overall health of your son, treatment is relatively simple. [childrenshospital.org]
[…] is an approach that improves the quality of life of patients and their families facing the problems associated with lifethreatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment [books.google.de]
Torsion of morgagni hydatid in «acute scrotum» syndrome Abstract The results of operative treatment of 252 patients aged from 3 months to 20 years (mean age 9,9±2,9 years) hospitalized with acute pain in the scrotum were demonstrated. [journals.uran.ua]
Treatment of Torsion Testis * Indication * Operative management Indication of Treatment of Torsion Testis The condition is highly emergency and infraction of the testes occurs in 6 hrs Operative management in Treatment of Torsion Testis 1. [brainscape.com]
Prognosis
[…] testes_torsion introduction intratunical torsion of the testes is a surgical emergency as infarction of the testes increases with time, and with durations exceeding 4 hours from onset, prognosis becomes poor patients with suspected torsion of testes are [ozemedicine.com]
explain and gain consent for possible orchidectomy + bilateral fixation Prognosis if surgery performed 24hrs later, 0 - 10% Source OHCM 9th Ed 2014 Harrison's 18th Ed 2012 Toronto Notes 2012 [simplifiedmed.weebly.com]
References: [1] [7] Prognosis [amboss.com]
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]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
* PREDISPOSING FACTORS * PRECIPITATING FACTORS PREDISPOSING FACTORS in Etiology of Torsion Testis 1. [brainscape.com]
The etiology of this condition can be correlated with the morphological characteristics of the hydatid present in children and young adults. [pediatrics.aappublications.org]
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]
Epidemiology
His interests are in incontinence in the elderly, the effects of medication and co-morbidity on continence status and the epidemiology and aetiology of incontinence in the elderly. [books.google.com]
/100,000 males below the age of 18 References: [1] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]
Definition twisting of spermatic cord that ‘holds’ the testes —> blood supply cut off —> schema —> necrosis Aetiology mostly idiopathic, congenital, post trauma Epidemiology any age, most often 11-30yo Clinical Features Symptoms sudden onset of severe [simplifiedmed.weebly.com]
Epidemiology Most common in boys under age 3-5 years up to age 12 years old III. Differential Diagnosis IV. [fpnotebook.com]
Pathophysiology
The pathophysiological basis of surgical diseases is discussed in relation to their management, acting as a bridge between basic medical sciences and clinical problems. [books.google.com]
Pathophysiology The testicle can twist and tighten up around the spermatic cord. The twist can happen outside of the scrotum, normally at the external inguinal ring, or inside of the scrotum. [paediatricem.blogspot.com]
Pathophysiology Clinical features Abrupt onset testicular pain and/or pain in the lower abdomen Typically swollen and tender testicle and/or lower abdominal tenderness Nausea and vomiting Abnormal position of testicle Absent cremasteric reflex Prehn sign [amboss.com]
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]
Prevention
Prevention of bacterial endocarditis. [books.google.de]
Surgery is the accepted form of treatment, because it provides prompt relief from the pain, prevents recurrence and, in some cases, is required to rule out torsion of the spermatic cord. [pediatrics.aappublications.org]
Early diagnosis, prompt treatment, and preventive measures are important to avoid testicular infarction. Occurrence of torsion has been previously reported following orchidopexy for undescended testis and for previous torsion of the testis. [link.springer.com]
The vast majority of this unnecessary surgery and its complications could have been prevented by timely and accurate CDUS. [omicsonline.org]