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Acute scrotum - Coggle Diagram

- - - - More prevalent in children and adolescents.
      - "Bell-clapper" deformity
        
        When tunica vaginalis attached more proximally on spermeatic chord
        
        Long mesochorium
        
        Testes lies horisontally
        
        more vunerable to twisting with leg movement or cremasteric contraction
    - - Perinatal occurrence due to inadequate fixation of tunica vaginalis.
      - Allows spinning of testis and tunica on the vascular pedicle.
  - - - Utilized when diagnosis is equivocal.
      - High-resolution with color flow Doppler assesses testicular blood flow.
      - Secondary to timely scrotal exploration.
  - - - Median raphe scrotal incision for exploration.
      - Detorsion and assessment of testicular viability.
      - Nonviable testis removal to prevent damage to the contralateral testis.
      - If reperfused, fix the testis to the scrotal wall using nonabsorbable sutures.
      - Contralateral testis exploration and fixation.