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Case Reports in Urology
Volume 2015, Article ID 430871, 3 pages
Case Report

Torsion of a Large Appendix Testis Misdiagnosed as Pyocele

Department of General Surgery, All India Institute of Medical Sciences, Sijua, Patrapada, Bhubaneswar, Odisha 751019, India

Received 16 December 2014; Revised 5 February 2015; Accepted 2 March 2015

Academic Editor: Elijah O. Kehinde

Copyright © 2015 Susanta Meher et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.