4 Hours Of Sudden in Surgery — 12yo Child | Pediatric Surgery | SMLE Q#11091
SMLE Question #11091
Surgery
Pediatric Surgery
Objective: OBJ-1758
Last updated: February 2026
A 12-year-old boy presents to the emergency department with 4 hours of sudden, severe right lower abdominal pain that has migrated to the right hemiscrotum, with nausea. Examination shows a very tender right hemiscrotum and a slightly elevated right testis with an abnormal lie; the right cremasteric reflex is absent. The left testis is normal, and there is no history of trauma. What is the most appropriate management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.