Isolated torsion of appendix epididymis–a difficult diagnosis
- Urology & Nephrology Open Access Journal
Márcio Luís Duarte,1 Daniel Pires Penteado Ribeiro,2 Luiz Carlos Donoso Scoppetta2
Appendix epididymis has an estimated prevalence of about 20 % of the pediatric population, being a remnant of the mesonephric duct. It has an echogenicity equal to the epididymis in ultrasound. We report an 8-year-old male patient complaining of pain in the left scrotum for four hours. The objective of this report to emphasize the need for the sonographer to investigate the torsion of the epididymal appendix and not to confuse it with testicular torsion and epididymitis since their treatments are different.
child, epididymis/diagnostic imaging, ultrasonography