Question

A 14 year old boy has been brought to the ER by his mother in severe pain radiating from his scrotum to his inguinal area. His pulse is 122, and he has vomited twice prior to arriving at the hospital. His scrotum is red and swollen, and his testicles are tender to palpation. There is extensive cremaster muscle contraction. Which of the following is the most likely diagnosis?

Answer 1

Answer:

Testicular torsion

Explanation:

Testicular torsion is a state of emergency.  It occurs when the sperm cord rotates and becomes twisted.  

The twisting cuts off the blood supply of the testicle,  causing rapid pain and inflammation.

Symptoms include:

• Severe inflammation on one side of the scrotum.
• Light-headedness and vomiting
• Tummy pain