Torsion of a Large Appendix Testis Misdiagnosed as Pyocele

Torsion of the appendix testis is not an uncommon cause of acute hemiscrotum. It is frequently misdiagnosed as acute epididymitis, orchitis, or torsion of testis. Though conservative management is the treatment of choice for this condition, prompt surgical intervention is warranted when testicular t...

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Main Authors: Susanta Meher, Satyajit Rath, Rakesh Sharma, Prakash Kumar Sasmal, Tushar Subhadarshan Mishra
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2015/430871
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author Susanta Meher
Satyajit Rath
Rakesh Sharma
Prakash Kumar Sasmal
Tushar Subhadarshan Mishra
author_facet Susanta Meher
Satyajit Rath
Rakesh Sharma
Prakash Kumar Sasmal
Tushar Subhadarshan Mishra
author_sort Susanta Meher
collection DOAJ
description Torsion of the appendix testis is not an uncommon cause of acute hemiscrotum. It is frequently misdiagnosed as acute epididymitis, orchitis, or torsion of testis. Though conservative management is the treatment of choice for this condition, prompt surgical intervention is warranted when testicular torsion is suspected. We report a case of torsion of a large appendix testis misdiagnosed as pyocele. Emergency exploration of it revealed a large appendix testis with torsion and early features of gangrene. After excision of the appendix testis, the wound was closed with an open drain. The patient had an uneventful and smooth postoperative recovery.
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institution Kabale University
issn 2090-696X
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publishDate 2015-01-01
publisher Wiley
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series Case Reports in Urology
spelling doaj-art-f67dd09a35fe4bd19a743e8db8b1b8842025-02-03T01:13:03ZengWileyCase Reports in Urology2090-696X2090-69782015-01-01201510.1155/2015/430871430871Torsion of a Large Appendix Testis Misdiagnosed as PyoceleSusanta Meher0Satyajit Rath1Rakesh Sharma2Prakash Kumar Sasmal3Tushar Subhadarshan Mishra4Department of General Surgery, All India Institute of Medical Sciences, Sijua, Patrapada, Bhubaneswar, Odisha 751019, IndiaDepartment of General Surgery, All India Institute of Medical Sciences, Sijua, Patrapada, Bhubaneswar, Odisha 751019, IndiaDepartment of General Surgery, All India Institute of Medical Sciences, Sijua, Patrapada, Bhubaneswar, Odisha 751019, IndiaDepartment of General Surgery, All India Institute of Medical Sciences, Sijua, Patrapada, Bhubaneswar, Odisha 751019, IndiaDepartment of General Surgery, All India Institute of Medical Sciences, Sijua, Patrapada, Bhubaneswar, Odisha 751019, IndiaTorsion of the appendix testis is not an uncommon cause of acute hemiscrotum. It is frequently misdiagnosed as acute epididymitis, orchitis, or torsion of testis. Though conservative management is the treatment of choice for this condition, prompt surgical intervention is warranted when testicular torsion is suspected. We report a case of torsion of a large appendix testis misdiagnosed as pyocele. Emergency exploration of it revealed a large appendix testis with torsion and early features of gangrene. After excision of the appendix testis, the wound was closed with an open drain. The patient had an uneventful and smooth postoperative recovery.http://dx.doi.org/10.1155/2015/430871
spellingShingle Susanta Meher
Satyajit Rath
Rakesh Sharma
Prakash Kumar Sasmal
Tushar Subhadarshan Mishra
Torsion of a Large Appendix Testis Misdiagnosed as Pyocele
Case Reports in Urology
title Torsion of a Large Appendix Testis Misdiagnosed as Pyocele
title_full Torsion of a Large Appendix Testis Misdiagnosed as Pyocele
title_fullStr Torsion of a Large Appendix Testis Misdiagnosed as Pyocele
title_full_unstemmed Torsion of a Large Appendix Testis Misdiagnosed as Pyocele
title_short Torsion of a Large Appendix Testis Misdiagnosed as Pyocele
title_sort torsion of a large appendix testis misdiagnosed as pyocele
url http://dx.doi.org/10.1155/2015/430871
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AT rakeshsharma torsionofalargeappendixtestismisdiagnosedaspyocele
AT prakashkumarsasmal torsionofalargeappendixtestismisdiagnosedaspyocele
AT tusharsubhadarshanmishra torsionofalargeappendixtestismisdiagnosedaspyocele