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==Differential diagnosis== *'''<span style="color:#ff0000">Differential diagnoses include (14):</span>[https://www.ncbi.nlm.nih.gov/books/NBK470335/]''' *# '''<span style="color:#ff0000">Testicular appendage torsion''' *# '''<span style="color:#ff0000">Acute epididymitis/epididymo-orchitis''' *# '''<span style="color:#ff0000">Spermatic cord torsion''' *# '''<span style="color:#ff0000">Strangulated/incarcerated inguinal hernia''' *# '''<span style="color:#ff0000">Scrotal cellulitis''' *# '''<span style="color:#ff0000">Fournier gangrene''' *# '''<span style="color:#ff0000">Idiopathic scrotal edema''' *# '''<span style="color:#ff0000">Intratesticular hematoma''' *# '''<span style="color:#ff0000">Testicular rupture''' *# '''<span style="color:#ff0000">Scrotal or testicular abscess''' *# '''<span style="color:#ff0000">Varicocele''' *# '''<span style="color:#ff0000">Testicular infarction''' *# '''<span style="color:#ff0000">Testicular neoplasm''' *# '''<span style="color:#ff0000">Henoch-Schonlein purpura''' *'''<span style="color:#ff0000">Torsion of the appendix testis is the most common diagnosis followed by spermatic cord torsion, epididymitis''' **'''Although all of these diseases can occur at any time during childhood,''' ***'''<span style="color:#ff0000">Torsion of the appendix testis is typically most common after infancy and before puberty''' ***'''<span style="color:#ff0000">Epididymitis and spermatic cord torsion are most common in the perinatal and pubertal periods''' **'''<span style="color:#ff0000">Torsion of an appendage and epididymitis are managed conservatively with limited consequence''' **'''<span style="color:#ff0000">Prompt surgical exploration for spermatic cord torsion is imperative because the gonad is at considerable risk of ischemic damage or loss'''
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