Dull Heaviness in Surgery — 45yo Man | General Surgery | SMLE Q#1320
SMLE Question #1320
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 45-year-old man presents 1 month after elective open right inguinal hernia repair. During the first postoperative week, he had right scrotal pain and swelling that resolved. Over the past 2 weeks, he noticed the right testis becoming smaller with a dull heaviness. Examination shows a well-healed incision and a smaller, firm right testis compared with the left. There is no scrotal erythema, warmth, tenderness, or recurrent hernia. What is the most likely cause of his testicular atrophy?
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