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.
What diagnosis is the Prehn’s sign associated with?
Prehn’s sign is a clinical finding that helps clinicians determine whether testicular pain is caused by epididymitis or testicular torsion. A positive Prehn’s sign, characterized by pain relief from the maneuver, is indicative of epididymitis, or the inflammation of the epididymis (a duct running behind the testes).
What is a testicular hydatid?
Anatomical terminology The appendix testis (or hydatid of Morgagni) is a vestigial remnant of the Müllerian duct, present on the upper pole of the testis and attached to the tunica vaginalis. It is present about 90% of the time.
What is negative cremasteric reflex?
The absence of the reflex is considered to be diagnostic for testicular torsion. The cremasteric reflex has been reported to be absent in 100% of cases of testicular torsion, making it a potentially useful sign in this diagnosis.
Which artery is compressed by the Torted testis and spermatic cord?
Torsion is caused by the twisting of the spermatic cord, resulting with compression of the testicular artery and reduced or absent blood flow to the testicle.
What is 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.
What is a appendix testis?
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). Torsion of an appendage occurs when this tissue twists.
What is a positive cremasteric reflex?
This reflex is elicited by stroking or pinching the medial thigh, causing contraction of the cremaster muscle, which elevates the testis. The cremasteric reflex is considered positive if the testicle moves at least 0.5 cm.
What is an appendix testis?
How to diagnose a blue dot on the testicle?
Answers. The diagnosis is one that can be made clinically. Typical physical examination findings include intact bilateral cremasteric reflexes and a tender nodule on the anterosuperior aspect of the testis with a characteristic blue dot sign. In order to best see the blue dot sign, the skin must be stretched over the upper pole of the testis.
When to look for the Blue Dot Sign?
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.
Which is the most accurate sign of testicular torsion?
Testicular Torsion. 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 causes a blue dot on the side of the appendix?
The blue to purple discoloration seen in the picture on the left is caused by a torsed and ischemic appendix testis or appendix epididymis. The blue dot sign is most easily visible within the first few hours following the torsion and it is more easily seen in fair skinned boys. Torsion of an appendix testis or epididymis occurs when the