A 16-year-old boy attends the emergency department complaining of sudden onset of right testicular pain. The pain woke him from his sleep and has persisted over the last 3 h. His mother says that he has vomited once. His previous medical history includes a similar event a year ago, but on that occasion, the pain subsided quickly. He is asthmatic and uses a salbutamol inhaler. Examination On examination, the left hemi-scrotum feels normal but the right side is acutely swollen and tender on palpation. The testicle is elevated when compared to the other side and has an abnormal horizontal lie.
The abdomen is soft and non-tender. His blood pressure is 130/84 mmHg and the pulse rate is 110/min. The cremasteric reflex is absent. Investigations Urinalysis is clear. What can be the probable diagnosis for this patient? * This case is from Docplexus editorial team for educative purpose only…
