CLINICO-HISTOPATHOLOGIC PRESENTATION OF A NIGERIAN CHILD WITH TORSION OF A TESTICULAR APPENDAGE: A CASE REPORT.

Torsion of hydatid of Morgagni (appendix testis) is one of the causes of acute scrotum. However, it can be distinguished from testicular torsion by its insidious onset and localizable tenderness. In addition, colour doppler ultrasonography has characteristic findings in torsion of hydatid of Morgagni. We present a case of torsion of hydatid of Morgagni which was of sudden onset, and had clinical features mimicking testicular torsion which warranted immediate scrotal exploration. Intra-operative finding was torsion of appendix testis as against the clinical presentation suggestive of testicular torsion. Acute scrotum being a time dependent emergency may not allow time for doppler ultrasonography which will differentiate torsion of appendix testis from testicular torsion thus preventing unnecessary scrotal exploration.