GOOD NEWS: We have fixed the DICOM uploading problem. New cases should work fine. More info radiopaedia.org/chat

Torsion of the appendix epididymis

Case contributed by Yaïr Glick
Diagnosis probable

Presentation

Right-sided scrotal tenderness.

Patient Data

Age: 9 years
Gender: Male
ultrasound

Normal appearance of scrotum and tunicae.
Testes are of normal size and echotexture (left testis not shown here). Normal arterial flow in both.
Normal appearing epididymis demonstrated bilaterally.
Located between upper pole of right testis and head of epididymis is an elliptical structure with meshlike echotexture, measuring approximately 3.5 x 2.5 mm, devoid of internal flow - most compatible with torsion of appendix epididymis.
No evidence of hydrocele or varicocele.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.