Progressive Swelling in Surgery — 10yo Child | Pediatric Surgery | SMLE Q#2570
SMLE Question #2570
Surgery
Pediatric Surgery
Last updated: February 2026
A 10-year-old boy develops sudden severe right scrotal pain while playing. The pain has persisted for 24 hours and is worsening, with progressive swelling and nausea. Examination shows an erythematous, swollen right hemiscrotum with a high-riding, horizontally oriented, markedly tender testis and a very tender, thickened spermatic cord. The cremasteric reflex is absent on the right. What is the most likely diagnosis?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.