Sudden Severe Left Scrotal in Surgery — 15yo Child | Pediatric Surgery | SMLE Q#11092
SMLE Question #11092
Surgery
Pediatric Surgery
Objective: OBJ-1758
Last updated: February 2026
A 15-year-old boy presents with sudden severe left scrotal pain for 2 hours. Three days ago, he had a similar episode that resolved within 20 minutes. The left hemiscrotum is swollen and erythematous; the left testis is high-riding and horizontally oriented. Scrotal elevation does not relieve pain, and the left cremasteric reflex is absent. What is the most likely diagnosis?
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