[Differential diagnosis of torsion of the hydatid of Morgagni and of acute appendicitis in children].

Ninety four children were operated for torsion of testicle hydatids. A conclusion is made that in certain patients differential diagnosis of acute appendicitis is necessary. Irradiation of pain into the abdomen due to close connection of testicle hydatid nerves with nervous plexuses of the retroperitoneal space is one of the causes of possible errors. Thorough palpation of the scrotum organs, novocain blockade of the spermatic cord in doubtful cases help to make correct diagnosis and avoid useless laparotomy. Torsion of the uterine tube hydatid in girls can be a cause of the local aseptic inflammation of the peritoneum and can simulate the clinical picture of acute appendicitis. Revision of fimbriated ends is shown to be important in the absence of alterations in the vermiform process and hemorrhagic exudate.