Torsion of appendix epididymis
ICD-10 N44.04 is a billable code used to indicate a diagnosis of torsion of appendix epididymis.
Torsion of the appendix epididymis is a condition characterized by the twisting of the small appendage located on the epididymis, which can lead to ischemia and pain. This condition is often seen in adolescents and young adults, presenting with sudden onset scrotal pain, swelling, and tenderness. The appendix epididymis is a remnant of the mesonephric duct and is typically asymptomatic; however, when torsion occurs, it can mimic other acute scrotal conditions such as testicular torsion or epididymitis. Diagnosis is primarily clinical, supported by imaging studies such as Doppler ultrasound to assess blood flow. Treatment usually involves surgical intervention to untwist the appendage and may include excision if necrosis is present. Complications can include chronic pain or infertility if not treated promptly. Understanding this condition is crucial for differentiating it from other testicular disorders, as timely intervention can prevent severe outcomes.
Detailed clinical notes including onset, duration, and severity of symptoms, as well as imaging results.
Acute scrotal pain in adolescents, differential diagnosis of scrotal masses.
Ensure clear documentation of the surgical procedure performed and any findings.
Thorough assessment notes, including vital signs and pain assessment.
Patients presenting with acute scrotal pain requiring immediate evaluation.
Document all interventions and consultations with urology.
Used when surgical intervention is required for torsion.
Document findings during exploration and any procedures performed.
Urologists should ensure detailed operative notes are available.
Common symptoms include sudden onset of scrotal pain, swelling, and tenderness, often accompanied by nausea or vomiting.
Diagnosis is primarily clinical, supported by imaging studies such as Doppler ultrasound to assess blood flow to the affected area.
Treatment typically involves surgical intervention to untwist the appendage and may include excision if necrosis is present.
