Become a Pro Member for full access to this course and more.

View Plans   Log In
Expand ("E")   Collapse

Age: 10

Sex: Male

Indication: Right testicular pain

Save ("V")

Case #14


Findings

  • Round, heterogeneous structure adjacent to the right epididymal head measuring 0.6 cm without internal vascularity
  • Otherwise normal size, appearance, and vascularity of the bilateral testicles
  • Mildly heterogeneous appearance of the right epididymis with enlargement of the epididymal tail and slightly increased vascularity
  • Echogenic tissue along the distal spermatic cord bilaterally, which may represent small lipomas versus unencapsulated fat
  • Small right hydrocele


Diagnosis

Torsed testicular appendage

Sample Report

Round, heterogeneous structure adjacent to the right epididymal head measuring 0.6 cm without internal vascularity, consistent with a torsed testicular appendage. Mild edema and hyperemia of the adjacent epididymis and small right hydrocele, likely reactive.

No evidence for testicular torsion.


Discussion

  • Unlike testicular torsion, a torsed testicular appendage is a benign condition that is managed conservatively
  • This condition is seen most in prepubertal patients and can present with symptoms identical to those of testicular torsion
  • On ultrasound, look for an avascular round extratesticular mass
  • There is commonly associated epididymal hypervascularity and edema and a reactive hydrocele


Images

Rounded avascular structure adjacent to the testicle and epididymal head (red arrow), consistent with a torsed testicular appendage.

📣 Feedback?

⌨️  Keyboard Shortcuts ("K")

⌨️ Keyboard Shortcuts

View shortcuts

Zoom/Pan

  Full screen

  Window/Level

  Expand/collapse

  Scroll

  Save the case

  Close case/tab

Previous Slice (Scroll)

Next Slice (Scroll)

 Toggle presets

 Previous series (if multiple)

 Next series (if multiple)

  Previous case (⌘ ◄ on a mac)

  Next case (⌘ ► on a mac)