Testicular microlithiasis in a child with torsion of the appendix testis

We report on an 8-year-old boy with a unilateral testicular mass and bilateral diffusely echogenic testes on sonography. At inguinal exploration torsion of an appendix testis with a reactive phlegmon was found and testis biopsy revealed significant testicular microlithiasis. To our knowledge our case demonstrates a previously undescribed presentation of testicular microlithiasis. The literature is reviewed and this disease entity is discussed.