Torsion of appendix testis
ICD-10 N44.03 is a billable code used to indicate a diagnosis of torsion of appendix testis.
Torsion of the appendix testis refers to the twisting of the small remnant of the embryonic tissue that is attached to the upper pole of the testis. This condition is most commonly seen in adolescents and can lead to acute scrotal pain. The torsion can compromise blood flow to the appendix testis, resulting in ischemia and potential necrosis if not promptly addressed. Symptoms typically include sudden onset of unilateral scrotal pain, swelling, and sometimes nausea or vomiting. Diagnosis is often made through physical examination and imaging studies, such as ultrasound, which can reveal the presence of a hydrocele or other testicular disorders. Management usually involves surgical intervention to untwist the appendix testis and may include fixation to prevent recurrence. If left untreated, torsion can lead to complications such as orchitis or contribute to male infertility due to damage to the surrounding testicular tissue.
Detailed surgical notes, imaging results, and patient history.
Acute scrotal pain in adolescents, post-operative follow-up for torsion repair.
Ensure clear differentiation between torsion types and associated conditions.
Growth and development history, symptom onset details, and family history.
Evaluation of scrotal pain in young boys, management of hydrocele.
Consider age-related variations in presentation and management.
Used when surgical intervention is required for torsion.
Surgical notes detailing the procedure and findings.
Urology specialists should ensure clear documentation of the surgical approach.
Common symptoms include sudden onset of unilateral scrotal pain, swelling, and sometimes nausea or vomiting. Physical examination may reveal tenderness and a palpable mass.
Diagnosis is primarily clinical, supported by imaging studies such as ultrasound, which can help differentiate it from testicular torsion.
Treatment typically involves surgical intervention to untwist the appendix testis and may include fixation to prevent recurrence.
