Acute Scrotum Case History

A 15-year-old boy is brought kicking and screaming to your office by his mother. He has been complaining of right scrotal pain since he awoke. He is very embarrassed and reluctant to be examined. After your soothing assurances, he relents and puts on an examination gown. You find the scrotum pictured at the right. The right testicle is enlarged and tender. It is difficult to palpate the epididymis separate from the testis. The left testis is normal. You should:

Order an ultrasound.

Order a radioisotope testis scan.

Take the boy to surgery.

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©David A. Hatch, M.D., 1996