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An 8-year-old male patient complaining of pain in the left scrotum for four hours. Relatives deny comorbidities. The patient denies trauma or recent sports. On clinical examination, there is a small blue dot in the painful scrotum. Ultrasound shows preserved testicles, discarding testicular torsion, and a hypoechoic, oval, well-defined image, adjacent to the head of the left epididymis, measuring 6.5 mm, compatible with appendix epididymis torsion (Figure 1). The patient was conducted to conservative treatment-rest and analgesics, with resolution in one week.

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