Torsion of the testicular appendages

Abstract

Summary The anatomy and embryologic development of the testicular appendages are reviewed. These structures become clinically important when torsion occurs. The symptoms are pain in the testicle, swelling of the scrotal contents, and redness and edema of the scrotum. Testicular pain secondary to trauma, to mumps orchitis, and the epididymitis must be considered in the differential diagnosis. Surgical removal of the twisted appendage is recommended.