Sudden Severe Left Scrotal in Surgery — 16yo Child | Urology | SMLE Q#18476
SMLE Question #18476
Surgery
Urology
Objective: OBJ-124
Last updated: February 2026
A 16-year-old boy presents to the emergency department with sudden severe left scrotal pain for 2 hours that began at rest. He reports swelling and marked tenderness. He denies dysuria and urethral discharge. Examination shows a swollen, exquisitely tender left testis with an absent left cremasteric reflex; the swelling does not transilluminate. What is the most likely diagnosis?
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