• Muhammad Misbah Rashid
  • Badar Murtaza
  • Naser Ali Khan


An case of torsion of the appendix of testis is described in a 10 years old boy. He presented withsudden onset of severe pain in the left testis of 3 days duration. Emergency exploration of the lefttestis revealed a gangrenous appendix of the left testis. The appendix of the testis was excised andthe wound was closed. The patient made a smooth post-operative recovery.KEY WORDS: torsion, appendix testis, exploration, gangrene


Favorito LA, Cavalcante AGL, B abinski MA. Study of the

incidence of testicular and epididymal appendages in patients

with cryptorchidism. Internati onal Braz J Urol


Noske HD, Kraus SW, Altinkilic BM, Weidner W. Historical

milestones regarding torsion o f the scrotal organs. J Urol


Rolnick D, Kawanoue S, Szanto P, Bush IM. Anatomical

incidence of testicular appendages . J Urol 1968;100:755-6.

J Ayub Med Coll Abbottabad 2007;19(4)

Snyder H, Caldamone A, Duckett J. Scrotal pain. In: Fleisher

G, Ludwig S, eds. Textbook of Pediatric Emergency

Medicine. 3 rd ed. Baltimore, MD: Williams & Wilkins


Knight P, Vassy L. The diagnosis and treatment of the acute

scrotum in children and adoles cents. Ann Surg


Lewis A, Bukowski TP, Jarvis P D, Wacksman J, Sheldon

CA. Evaluation of acute scrotu m in the emergency

department. J Pediatr Surg 1995;30(2):277-81.

Rabinowitz R. The importance o f the cremasteric reflex in

acute scrotal swelling in children. J Urol 1984;132(1):89-90.

Mumtaz FH, Khan MA, Morgan RJ. Synchronous bilateral

torsion of the appendix testis . Urologia Internationalis


Baldisserotto M, Ketzer de Sou za JC, Pertence AP, Dora

MD. Color Doppler sonography o f normal and torsed

testicular appendages in children. AJR 2005;184(6):1287-92.

Yazbeck S, Patriquin HB. Accur acy of Doppler sonography

in the evaluation of acute con ditions of the scrotum in

children. J Pediatr Surg 1994;29(9):1270-2.

Most read articles by the same author(s)