What does a positive blue dot sign mean?
The finding of an ipsilateral absent cremasteric reflex is the most accurate sign of testicular torsion. 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).
What is appendiceal torsion?
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.
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.
What is Torted hydatid?
The hydatid of Morgagni is a small embryological remnant at the upper pole of the testis. Torsion of the hydatid is of no consequence in itself except that it presents a similar picture to torsion of the testis which is a surgical emergency.
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 positive Transillumination test?
The area being tested will light up brightly if air, fluid, or non-solid masses such as cysts are present. The absence of an organ will allow light to pass through the skin and will also appear bright. Solid masses will appear dark and normal. Your doctor will notify you if the results show any abnormalities.
How long can testicular appendage torsion last?
The prognosis is good for torsion of either testicular appendage as they are both vestigial remnants with no known function. The pain and inflammation associated with the torsion are self-limiting, and the condition typically resolves within one week without the need for surgical intervention.
How long does torsion of appendix testis last?
The pain and inflammation associated with the torsion are self-limiting, and the condition typically resolves within one week without the need for surgical intervention.
Which testicle is more likely to torsion?
Most cases of testicular torsion are in males who have a genetic condition called the bell clapper deformity. Normally, the testicles are attached to the scrotum, but in this condition the testicles aren’t attached, and are more likely to turn and twist within the scrotum.
Is testicular torsion easy to happen?
Torsion is not a common problem. It happens in about 1 in 4,000 males under the age of 25. It can also happen in newborns and in older men. In most males, a testicle can’t twist because the tissue around it is well attached.
Does torsion of the appendix show up on a blue dot?
Most boys with torsion of an appendix testis or appendix epididymiswill not show the blue dot sign. In many cases it may be impossibleto distinguish between torsion of an appendix and torsionof the testis, a condition that requires prompt diagnosis and treatmentin order to save the testis.
When is the Blue Dot Sign most easily visible after torsion?
The blue dot sign is most easily visible within the firstfew hours following the torsion and it is more easily seen in fair skinnedboys. Torsion of an appendix testis or epididymis occurs when the Most boys with torsion of an appendix testis or appendix epididymiswill not show the blue dot sign.
How can I tell if my child has torsion of the appendix?
In many cases it may be impossible to distinguish between torsion of an appendix and torsion of the testis, a condition that requires prompt diagnosis and treatment in order to save the testis. However, when the blue dot sign is seen and the testis is palpably normal, you can be confident that the boy has torsion of an appendix.
What is torsion of appendix epididymis?
Torsion of Appendix Epididymis. Most boys with torsion of an appendix testis or appendix epididymis will not show the blue dot sign. In many cases it may be impossible to distinguish between torsion of an appendix and torsion of the testis, a condition that requires prompt diagnosis and treatment in order to save the testis. However,…