What diagnosis is the blue dot sign associated with?
Torsion of the appendix testis is more common in children than testicular torsion and may be diagnosed by the “blue dot sign” (i.e., tender nodule with blue discoloration on the upper pole of the testis).
Can appendicitis cause pain in testicle?
Suppurative appendicitis with scrotal pain is very rare. Many similar cases have reported in recent years with the appendicitis and findings are confounded by testicular torsion of appendix.
What is a positive Prehn’s sign?
A positive Prehn’s sign indicates relief of pain upon elevation of the scrotum and is associated with epididymitis. Epididymitis can be caused by bacterial infection of the epididymis and can usually be treated with a course of antibiotics.
What is testicular appendicitis?
Testicular appendage torsion is the twisting of a small piece of tissue above a testicle. The appendage doesn’t have a function in the body. But it can twist and cause pain and swelling that gets worse over time. It is not the same as testicular torsion. It is not a medical emergency like testicular torsion.
What is the blue dot sign in testicular torsion?
When the appendix testis undergoes torsion, a hard, tender nodule may be palpable on the upper pole of the testicle, and a blue discoloration referred to as the “blue dot sign” may be visible in this area.
Is appendix testis hard?
The appendix testis is a Müllerian duct remnant on the superior aspect of the testicle. When the appendix testis undergoes torsion, a hard, tender nodule may be palpable on the upper pole of the testicle, and a blue discoloration referred to as the “blue dot sign” may be visible in this area.
Is appendix testis normal?
The appendix testis is a small appendage of normal tissue that is usually located on the upper portion of the testis.
Is Blue Dot sign present in testicular torsion?
The “blue dot sign” is a classic physical exam finding unique to testicular appendix torsion. However, it is often absent in the setting of testicular appendix torsion and can be falsely positive in cases of true testicular torsion.
What is a blue dot sign?
When the appendix testis undergoes torsion, a hard, tender nodule may be palpable on the upper pole of the testicle, and a blue discoloration referred to as the “blue dot sign” may be visible in this area. However, scrotal edema develops rapidly and often obscures physical examination findings.
Is Appendix of testis normal?
The appendix testis is a small appendage of normal tissue that is usually located on the upper portion of the testis. The appendix epididymis is a small appendage on the top of the epididymis (a tube-shaped structure connected to the testicle).
How common is appendix testis?
The appendix testis, sometimes called hydatid of Morgagni, is a vestigial remnant of the Mullerian duct and is present in 76% to 83% of testes. [2] When present, it is located on the superior pole of the testicle between the testis and epididymis and is the most common testicular appendage to undergo torsion.