
The appendix testis (or
hydatid of Morgagni) is a
vestigial remnant of the
Müllerian duct, present on the upper pole of the
testis
A testicle or testis ( testes) is the gonad in all male bilaterians, including humans, and is Homology (biology), homologous to the ovary in females. Its primary functions are the production of sperm and the secretion of Androgen, androgens, p ...
and attached to the
tunica vaginalis
The tunica vaginalis is a pouch of serous membrane within the scrotum that lines the testis and epididymis (visceral layer of tunica vaginalis), and the inner surface of the scrotum (parietal layer of tunica vaginalis). It is the outermost of ...
. It is present about 90% of the time.
Clinical significance
Torsion
The appendix of testis can occasionally become twisted, causing acute one-sided testicular pain and may require surgical excision to achieve relief. One third of patients present with a palpable "blue dot" discoloration on the scrotum. This is nearly diagnostic of this condition. If clinical suspicion is high for the serious
differential diagnosis
In healthcare, a differential diagnosis (DDx) is a method of analysis that distinguishes a particular disease or condition from others that present with similar clinical features. Differential diagnostic procedures are used by clinicians to di ...
of testicular torsion, a surgical exploration of the scrotum is warranted. Torsion of the appendix of testis occurs at ages 0–15 years, with a mean at 10 years, which is similar to that of testicular torsion.
[ Updated: Oct 20, 2016. Citing:]
See also
*
Paraovarian cyst
References
External links
*
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Mammal male reproductive system
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de:Morgagni-Hydatide