No Past Medical History in Surgery — 12yo Child | Urology | SMLE Q#18014
SMLE Question #18014
Surgery
Urology
Objective: OBJ-ACUTESCROTUM-001
Last updated: February 2026
A 12-year-old boy with no past medical history presents to the emergency department with sudden severe left scrotal pain for 2 hours associated with nausea. He denies dysuria, urethral discharge, and recent trauma. Examination shows an erythematous, oedematous left hemiscrotum with a high-riding, very tender testis and an absent cremasteric reflex on the left. What is the most likely diagnosis?
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