One Episode Of Vomiting in Surgery — 12yo Child | Pediatric Surgery | SMLE Q#11158
SMLE Question #11158
Surgery
Pediatric Surgery
Objective: OBJ-1758
Last updated: February 2026
A 12-year-old boy has sudden-onset left lower abdominal and scrotal pain for 4 hours that began while playing football and has worsened, with one episode of vomiting. Examination shows a swollen, erythematous, markedly tender left hemiscrotum; the left testis is elevated and lies transversely. The left cremasteric reflex is absent, and transillumination is negative. Which of the following is the most likely diagnosis?
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