Syed Asad Maroof, Kifayat Khan, Yonus Khan, Muhammad Jehangir Khan.
Torsion of testicular appendix as a cause of acute scrotum in children: experience in surgical management at Lady Reading Hospital Peshawar.
J Med Sci Jan ;17(1):40-4.

Objectives: The study was conducted to observe the various causes of acute scrotum and their respective surgical management in children. Material and Methods: This was a descriptive study conducted at Pediatric surgery unit of Lady Reading Hospital, Peshawar from 1st May 2005 to 31st May 2008. Children below 15 years of age operated for acute scrotum were included in the study. Data was collected on a printed standard Performa and patients were divided into various groups on the basis of operative findings. All patients were followed up for one month after operation. Results: Mean age was 7.97+3.665 years. Torsion of testicular appendix 20(32.8%) cases was the most common cause of pediatric acute scrotum followed by epididymo-orchitis 12(19.7%), torsion of epididymal appendix 6(9.8%), irreducible inguinal hernia 6(9.8%), intra-vaginal testicular torsion 6(9.8%), trauma 3(4.9%), tense hydrocele 2(3.3%), extra-vaginal torsion 2(3.3%), testicular tumor 1(1.6%), torsion of paradidymis 1(1.6%) , torsion of undescended testis 1(1.6%) and no abnormality detected in 1(1.6%). Orchidectomy was done in ten (16.4%) cases. There was no mortality. Wound sepsis noted in 6(9.8%) and hematoma in 1(1.6%) patient at follow up. Conclusion: Pediatric acute scrotum is a challenging condition with its diverse etiologies and early exploration is the investigation and intervention of choice to save the testis.

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