Mean age is 10.6 years. Torsion of testicular appendices is the leading cause of acute scrotum in children. The patient's history is important in distinguishing torsion of the testicular appendages from testicular torsion and other causes of acute scrotum. Pain may be present. Onset usually is acute, but pain may develop over time.
Intensity ranges from mild to severe.
Patients may endure pain for several days before seeking medical attention. The pain is located in the superior pole of the testicle. Systemic symptoms are absent. Nausea and vomiting usually are not associated with this condition. Urinary symptoms are absent.