title: Torsion of a large appendix testis misdiagnosed as pyocele.
abstract: Torsion of the appendix testis is not an uncommon cause of acute hemiscrotum. It is frequently misdiagnosed as acute epididymitis, orchitis, or torsion of testis. Though conservative management is the treatment of choice for this condition, prompt surgical intervention is warranted when testicular torsion is suspected. We report a case of torsion of a large appendix testis misdiagnosed as pyocele. Emergency exploration of it revealed a large appendix testis with torsion and early features of gangrene. After excision of the appendix testis, the wound was closed with an open drain. The patient had an uneventful and smooth postoperative recovery.
authors: Department of General Surgery, All India Institute of Medical Sciences, Sijua, Patrapada, Bhubaneswar, Odisha 751019, India.
authors: Susanta
authors: S
authors: Meher
authors: Department of General Surgery, All India Institute of Medical Sciences, Sijua, Patrapada, Bhubaneswar, Odisha 751019, India.
authors: Satyajit
authors: S
authors: Rath
authors: Department of General Surgery, All India Institute of Medical Sciences, Sijua, Patrapada, Bhubaneswar, Odisha 751019, India.
authors: Rakesh
authors: R
authors: Sharma
authors: Department of General Surgery, All India Institute of Medical Sciences, Sijua, Patrapada, Bhubaneswar, Odisha 751019, India.
authors: Prakash Kumar
authors: PK
authors: Sasmal
authors: Department of General Surgery, All India Institute of Medical Sciences, Sijua, Patrapada, Bhubaneswar, Odisha 751019, India.
authors: Tushar Subhadarshan
authors: TS
authors: Mishra