A 16-year-old kid is sent to the emergency room with significant right groin discomfort that has developed during the last 12 hours. The patient has experienced multiple occurrences of minor scrotal soreness while going between classes at school throughout the previous month. He has no serious injury history and is sexually active. Except for an inguinal hernia corrected a year ago, my medical history is ordinary. The temperature is 36.9 C (98.4 F), the blood pressure is 116/78 mm Hg, and the pulse rate is 86 beats per minute. The right hemiscrotum is enlarged and painful on inspection. The picture below depicts a bisected gross specimen from an orchiectomy. Which of the following is the most likely mechanism of this patient's acute testicular pain?

Question

A 16-year-old kid is sent to the emergency room with significant right groin discomfort that has developed during the last 12 hours. The patient has experienced multiple occurrences of minor scrotal soreness while going between classes at school throughout the previous month. He has no serious injury history and is sexually active. Except for an inguinal hernia corrected a year ago, my medical history is ordinary. The temperature is 36.9 C (98.4 F), the blood pressure is 116/78 mm Hg, and the pulse rate is 86 beats per minute. The right hemiscrotum is enlarged and painful on inspection. The picture below depicts a bisected gross specimen from an orchiectomy.  Which of the following is the most likely mechanism of this patient's acute testicular pain?

Quizplus · Accepted Answer

Eductional Objective: Torsion of the testicular cord is caused by an anatomical abnormality that allows for greater testicular motion. Severe scrotal discomfort and edema are observed as a result of venous compression and hemorrhagic infarction of the testis.

A 16-Year-Old Kid Is Sent to the Emergency Room with Significant