A 65-year-old male with known abdominal aortic aneurysm (AAA) presents with sudden onset of left-sided testicular pain. There is no scrotal swelling o...

Question

A 65-year-old male with known abdominal aortic aneurysm (AAA) presents with sudden onset of left-sided testicular pain. There is no scrotal swelling or erythema. Examination of the testicle is unremarkable. He has mild left loin discomfort. What should be considered as the cause of the testicular pain?

Accepted Answer

Referred pain from a leaking or expanding AAA - left testicular pain can be referred from retroperitoneal pathology via the genitofemoral nerve; urgent vascular assessment is needed

Answer

Epididymo-orchitis presenting atypically

Answer

Testicular torsion - despite the normal examination

Answer

Renal colic from a ureteric calculus

Answer

The testicular pain is psychogenic

uk-dipimc MCQ (SBA): AAA - Referred Testicular Pain