Little evidence supports the suggestion that scrotal calculi can form due to calcification of the necrotic appendix. Occurrence does not change with race or ethnicity. Mean age is 10.6 years. Patient history is important to distinguish torsion of the testicular appendages from testicular torsion and other causes of acute scrotum. Pain Onset usually is acute but may develop over time.
Intensity ranges from mild to severe.
Patients may endure pain for several days before seeking medical attention. Location of pain is the superior pole of the testicle. Systemic symptoms are absent. Nausea and vomiting usually are not associated with this condition. Urinary symptoms are absent.