Document Type
Case Report
Abstract
Abdominal pain is a frequent chief complaint in the emergency department (ED), responsible for 5% of all visits yearly. Despite emergency room work ups, 25% of these cases go undiagnosed. In the pediatric population, abdominal pain can be even harder to differentiate with causes ranging from low acuity constipation to emergent surgical emergencies like torsion or appendicitis. During these visits, the likelihood of two emergent surgical diagnoses occurring concurrently is a rare and often overlooked occurrence.
This case describes a 15-year-old male with a chief complaint of nausea and vomiting starting several hours prior to arrival. In the ED, history, physical examination, and imaging were significant for appendicitis in the setting of bilateral testicular torsion. This case serves as a reminder to keep a broad differential and consider the possibility of multiple diagnoses at once.
Recommended Citation
Alvarenga, JC; Kirk, Melissa; and Osorio-Rodriguez, Michelle
(2025)
"Unexpected Companions: Appendicitis and Bilateral Testicular Torsion,"
Florida Journal of Emergency Medicine (FJEM): Vol. 1.
Available at:
https://stars.library.ucf.edu/fjem/vol1/iss1/1
Included in
Emergency Medicine Commons, Gastroenterology Commons, Male Urogenital Diseases Commons, Pediatrics Commons
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