Triple Trouble: Acute Appendicitis with Right Testicular Torsion and Concurrent Right Inguinoscrotal Hernia-A Case Report
Appendicitis with Testicular Torsion and Inguinoscrotal Hernia
Abstract
Acute appendicitis commonly presents with right iliac fossa pain. However, it may present with right scrotal pain and swelling, which may be confused with other scrotal pathologies such as orchitis, scrotal abscess, and testicular torsion. Acute appendicitis in children and adolescents may present with scrotal pain due to inflammatory intraperitoneal fluid tracking down into the scrotal sac via a patent processus vaginalis. In rare cases, acute appendicitis may present concurrently with testicular torsion, making the diagnosis much more challenging. Herein, we present an even rarer case of acute appendicitis with right testicular torsion and concurrent right inguinoscrotal hernia.
[1] Guan L, Liu Z, Pan G, et al. The global, regional, and national burden of appendicitis in 204 countries and territories, 1990- 2019: a systematic analysis from the Global Burden of Disease Study 2019. BMC Gastroenterol. 2023 Feb 22;23(1):44. https://doi.org/10.1186/s12876-023-02678-7
[2] Addiss DG, Shaffer N, Fowler BS, et al. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990 Nov;132(5):910-25. https://doi.org/10.1093/ oxfordjournals.aje.a115734
[3] Petroianu A, Villar Barroso TV. Pathophysiology of acute appendicitis. JSM Gastroenterol Hepatol. 2016;4:1062-6.
[4] Wilkins SA Jr, Holder LE, Raiker RV, et al. Acute appendicitis presenting as acute left scrotal pain: diagnostic considerations. Urology. 1985 Jun;25(6):634-6. https://doi.org/10.1016/0090- 4295(85)90300-0
[5] Akhtar T, Das PK, Singh N, et al. Simultaneous acute appendicitis with right testicular torsion. J Indian Assoc Pediatr
Surg. 2012 Apr;17(2):82-3. https://doi.org/10.4103/0971- 9261.93974
[6] Dienye PO, Jebbin NJ. Acute appendicitis masquerading as acute scrotum: a case report. Am J Mens Health. 2011
Nov;5 (6):524-7. https://doi.org/10.1177/1557988311415514
[7] Najafizadeh-Sari S, Mehdizadeh H, Bagheri-Baghdasht MS, Manoochehry S. Suppurative appendicitis presenting
acute scrotal pain: a rare condition may confuse surgeons. J Surg Case Rep. 2017 Oct 27;2017(10):rjx215. https://doi.
org/10.1093/jscr/rjx215
[8] Öztürk Ö. Importance of Testicular Torsion Management: A Systematic Review. EJMA. 2023;3(2):56-60. https://doi.
org/10.14744/ejma.2022.25733
[9] Shafi H, Zarghami A, Aliramaji A, Rahimi M. Clinical findings of patients undergone surgery for testicular torsion: a 12- year single center experience in Northern Iran. Open J Urol. 2014;4:63-9. https://doi.org/10.4236/oju.2014.45011
[10] Laher A, Ragavan S, Mehta P, Adam A. Testicular Torsion in the Emergency Room: A Review of Detection and Management Strategies. Open Access Emerg Med. 2020 Oct 12;12:237-46. https://doi.org/10.2147/OAEM.S236767
[11] Ringdahl E, Teague L. Testicular torsion. Am Fam Physician. 2006 Nov 15;74(10):1739-43.
[12] Shehzad KN, Riaz AA. Unusual cause of a painful right testicle in a 16-year-old man: a case report. J Med Case Reports. 2011;5:27. https://doi.org/10.1186/1752-1947-5-27
[13] Seng YJ, Kevin M. Trauma induced testicular torsion: A reminder for the unwary. J Accid Emerg Med. 2000;17:381-2.
https://doi.org/10.1136/emj.17.5.381
[2] Addiss DG, Shaffer N, Fowler BS, et al. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990 Nov;132(5):910-25. https://doi.org/10.1093/ oxfordjournals.aje.a115734
[3] Petroianu A, Villar Barroso TV. Pathophysiology of acute appendicitis. JSM Gastroenterol Hepatol. 2016;4:1062-6.
[4] Wilkins SA Jr, Holder LE, Raiker RV, et al. Acute appendicitis presenting as acute left scrotal pain: diagnostic considerations. Urology. 1985 Jun;25(6):634-6. https://doi.org/10.1016/0090- 4295(85)90300-0
[5] Akhtar T, Das PK, Singh N, et al. Simultaneous acute appendicitis with right testicular torsion. J Indian Assoc Pediatr
Surg. 2012 Apr;17(2):82-3. https://doi.org/10.4103/0971- 9261.93974
[6] Dienye PO, Jebbin NJ. Acute appendicitis masquerading as acute scrotum: a case report. Am J Mens Health. 2011
Nov;5 (6):524-7. https://doi.org/10.1177/1557988311415514
[7] Najafizadeh-Sari S, Mehdizadeh H, Bagheri-Baghdasht MS, Manoochehry S. Suppurative appendicitis presenting
acute scrotal pain: a rare condition may confuse surgeons. J Surg Case Rep. 2017 Oct 27;2017(10):rjx215. https://doi.
org/10.1093/jscr/rjx215
[8] Öztürk Ö. Importance of Testicular Torsion Management: A Systematic Review. EJMA. 2023;3(2):56-60. https://doi.
org/10.14744/ejma.2022.25733
[9] Shafi H, Zarghami A, Aliramaji A, Rahimi M. Clinical findings of patients undergone surgery for testicular torsion: a 12- year single center experience in Northern Iran. Open J Urol. 2014;4:63-9. https://doi.org/10.4236/oju.2014.45011
[10] Laher A, Ragavan S, Mehta P, Adam A. Testicular Torsion in the Emergency Room: A Review of Detection and Management Strategies. Open Access Emerg Med. 2020 Oct 12;12:237-46. https://doi.org/10.2147/OAEM.S236767
[11] Ringdahl E, Teague L. Testicular torsion. Am Fam Physician. 2006 Nov 15;74(10):1739-43.
[12] Shehzad KN, Riaz AA. Unusual cause of a painful right testicle in a 16-year-old man: a case report. J Med Case Reports. 2011;5:27. https://doi.org/10.1186/1752-1947-5-27
[13] Seng YJ, Kevin M. Trauma induced testicular torsion: A reminder for the unwary. J Accid Emerg Med. 2000;17:381-2.
https://doi.org/10.1136/emj.17.5.381
| Files | ||
| Issue | Vol 9 No 2 (2024): March-April | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v9i2.16924 | |
| Keywords | ||
| Appendicitis Torsion Scrotum Testis Hernia | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Rahman MS. Triple Trouble: Acute Appendicitis with Right Testicular Torsion and Concurrent Right Inguinoscrotal Hernia-A Case Report. CRCP. 2024;9(2):52-56.
