triple trouble: acute appendicitis with right testicular torsion and concurrent right inguinoscrotal hernia-a case report

Acute appendicitis commonly presents with right iliac fossa pain. however, it may present with right scrotal pain and swelling, which may be confused with other scrotal pathologies such as orchitis, scrotal abscess, and testicular torsion. acute appendicitis in children and adolescents may present with scrotal pain due to inflammatory intraperitoneal fluid tracking down into the scrotal sac via a patent processus vaginalis. in rare cases, acute appendicitis may present concurrently with testicular torsion, making the diagnosis much more challenging. herein, we present an even rarer case of acute appendicitis with right testicular torsion and concurrent right inguinoscrotal hernia.