What would be the diagnosis?

A young boy presented with pain, swelling and redness of right side testes and scrotum. Sudden onset pain relieved on uplifting the scrotum.

What would be the diagnosis?
A . Torsion testes
B . Inguinal hernia
C . Hydrocele
D . Epididymo-orchitis

View Answer

Answer: D

Explanation:

According to Prehn’s sign, the physical lifting of the testicles relieves the pain of epididymitis but not pain caused by testicular torsion. Negative Prehn’s sign indicates no pain relief with lifting the affected testicle, which points towards testicular torsion which is a surgical emergency