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Scrotal Pain

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Abstract

A 14-year-old male presents to the emergency department with nausea, vomiting, and acute onset severe right scrotal pain that started 90 minutes ago while playing soccer. He vomited once soon after pain onset. He denies any trauma. He had a similar past episode 1 year ago that resolved spontaneously 10 minutes after onset. On physical examination, his right testicle is exquisitely tender to palpation, high riding, and fixed in the scrotum. The left testis is normal lying and non-tender with smooth contours. Right cremasteric reflex is absent.

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Suggested Reading

  • Cummings JM, Boullier JA, Sekhon D, Bose K. Adult testicular torsion. J Urol. 2002;167:2109.

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  • Rabinowitz R. The importance of the cremasteric reflex in acute scrotal swelling in children. J Urol. 1984;132:89.

    Article  CAS  Google Scholar 

  • Wampler SM, Llanes M. Common scrotal and testicular problems. Prim Care. 2010;37:613.

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Author information

Authors and Affiliations

  1. Department of Surgery, University of California, Irvine, Orange, CA, USA

    Areg Grigorian

  2. Department of Urology, University of California, Los Angeles, Los Angeles, CA, USA

    Fuad F. Elkhoury

  3. Urology, Department of Surgery, Harbor-UCLA Medical Center, Torrance, CA, USA

    Jeremy M. Blumberg

Authors
  1. Areg Grigorian
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  2. Fuad F. Elkhoury
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  3. Jeremy M. Blumberg
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Corresponding author

Correspondence to Areg Grigorian .

Editor information

Editors and Affiliations

  1. Department of Surgery, Harbor-UCLA Medical Center, Torrance, CA, USA

    Christian de Virgilio

  2. Department of Surgery, Suite 1600, University of California, Ivine, Orange, CA, USA

    Areg Grigorian

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Grigorian, A., Elkhoury, F.F., Blumberg, J.M. (2020). Scrotal Pain. In: de Virgilio, C., Grigorian, A. (eds) Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-05387-1_53

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  • DOI: https://doi.org/10.1007/978-3-030-05387-1_53

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-05386-4

  • Online ISBN: 978-3-030-05387-1

  • eBook Packages: MedicineMedicine (R0)

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