• J Emerg Med · Feb 2012

    Case Reports

    Clinical confounder: an incarcerated appendix masquerading as epididymitis.

    • Keel Coleman, Taruna Aurora, and Robert J Hoffman.
    • Department of Emergency Medicine, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA.
    • J Emerg Med. 2012 Feb 1;42(2):e35-7.

    BackgroundAcute appendicitis can have various unusual presentations. Detection of this entity is often confounded by its presence in the company of symptoms consistent with distinctly different etiologies.ObjectivesThis article highlights an extremely rare presentation of appendicitis.Case ReportThe case of a man presenting to an urban Emergency Department complaining of scrotal swelling and pain is discussed. On surgical exploration, the patient's symptomatology was diagnosed as acute appendicitis within an Amyand hernia.ConclusionAppendicitis can sometimes be a challenging diagnosis. Thorough examination and maintenance of a wide differential diagnosis with common complaints can assist the emergency physician in reaching the correct diagnosis.Copyright © 2012 Elsevier Inc. All rights reserved.

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