Torsion of the Appendix Testis With Observations as to Its Etiology

Observations based on 26 cases lead the authors to believe that torsion of the appendix testis is an athletic injury. The condition is often misdiagnosed, resulting in prolonged discomfort and sometimes recurrence of the condition. Surgery is the accepted form of treatment, because it provides prompt relief from the pain, prevents recurrence and, in some cases, is required to rule out torsion of the spermatic cord. The approach to the lesion should be through the inguinal region and not the scrotum.