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Testicular Torsion — RACP Paediatrics MCQ

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ModerateEmergency PaediatricsTesticular TorsionRACP Paediatrics

A 3-year-old boy presents with an acute scrotum: sudden onset of severe right testicular pain with nausea and vomiting. The testis is high-riding and horizontal with an absent cremasteric reflex. What is the most appropriate management?

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Correct answer: E — Urgent surgical exploration (do not delay for imaging)

Testicular torsion is a clinical diagnosis. Surgical exploration within 6 hours gives the best chance of testicular salvage. Ultrasound should NOT delay surgery when clinical suspicion is high.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Acute Scrotum