A 12-year-old boy was evaluated for acute onset of pain in the right scrotum. There was no history of fever or dysuria. On examination, point tenderness was found superior to the right testicle with a bluish skin discoloration. Both testes were normal to palpation. On US, a hypoechoic mass was seen adjacent to the right epididymal head. While the mass had no internal vascularity, there was adjacent hyperemia typical of torsion of a testicular appendage (Figs. 1 and 2).
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