Testicular torsion (pediatrics) Quiz: Ace Your Exams
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A 13-year-old boy is brought to the emergency department with sudden onset of persistent severe right testicular pain that started one hour ago. The patient has had similar episodes occurring in the right testicle in the past; however, each episode lasted for only a few minutes and resolved spontaneously. The pain was sharp and localized to the right testicle, radiating to the lower abdomen. Temperature is 37ºC (98.6°F), heart rate is 110/min, blood pressure is 125/92 mmHg, and respiratory rate is 18/min. The patient appears uncomfortable. The right testicle is high-riding with a transverse lie. There is marked scrotal erythema and swelling. Cremasteric reflex is absent on the right. The left testicular examination is within normal limits. Urology is emergently consulted and takes the patient to the operating room. During the surgery, the right testicle is determined to be viable and lacking a normal attachment to the tunica vaginalis. Which of the following is the best next step in management?
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