{"id":20187,"date":"2026-07-31T10:32:33","date_gmt":"2026-07-31T10:32:33","guid":{"rendered":"https:\/\/woncaeurope2026.org\/sessions\/lower-abdominal-pain-in-an-adolescent-boy-testicular-torsion-found-by-consent-based-examination\/"},"modified":"2026-07-31T10:32:33","modified_gmt":"2026-07-31T10:32:33","slug":"lower-abdominal-pain-in-an-adolescent-boy-testicular-torsion-found-by-consent-based-examination","status":"publish","type":"wsa_session","link":"https:\/\/woncaeurope2026.org\/fr\/sessions\/lower-abdominal-pain-in-an-adolescent-boy-testicular-torsion-found-by-consent-based-examination\/","title":{"rendered":"Lower Abdominal Pain in an Adolescent Boy: Testicular Torsion Found by Consent-Based Examination"},"content":{"rendered":"<p>Acute scrotal pain is a time-critical emergency, but adolescents may present with non-specific lower abdominal pain, leading to delays in examination and referral in busy primary care clinics.A 14-year-old boy presented to a FHC with sudden left lower abdominal pain and nausea for six hours. He denied diarrhea or urinary symptoms and felt embarrassed to discuss genital complaints. Vital signs were stable; abdominal examination showed mild left lower quadrant tenderness without guarding. Because of pain severity and the absence of gastrointestinal symptoms, a brief, respectful genitourinary history was revisited. The patient then disclosed that the pain \u201cstarted in the testis and moved up.\u201d A focused scrotal examination (with consent and a chaperone) revealed a high-riding, tender left testis and absent cremasteric reflex. Suspecting testicular torsion, the physician arranged immediate transfer to the nearest urology-capable emergency department, advising nil by mouth and explaining urgency to the family. The receiving team performed urgent surgery confirming torsion; detorsion and orchiopexy were completed, and the testis was viable. Contralateral fixation was also done. At FHC follow-up, the patient and parents reflected that embarrassment nearly delayed care. Education was provided on seeking urgent help for any acute scrotal pain.The case highlights how deliberate, consent-based examination can uncover hidden red-flag conditions in adolescents.Primary care teams should normalize confidential questions for adolescents and keep a low threshold for genital examination when abdominal pain is unexplained.Torsion is primarily a clinical diagnosis; delays reduce salvage rates. Clear communication and a chaperoned exam protect both patient safety and trust.In FHC practice, unexplained acute lower abdominal pain in boys should prompt consideration of testicular torsion and urgent referral.<\/p>\n","protected":false},"template":"","class_list":["post-20187","wsa_session","type-wsa_session","status-publish","hentry","description-off"],"_links":{"self":[{"href":"https:\/\/woncaeurope2026.org\/fr\/wp-json\/wp\/v2\/wsa_session\/20187","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/woncaeurope2026.org\/fr\/wp-json\/wp\/v2\/wsa_session"}],"about":[{"href":"https:\/\/woncaeurope2026.org\/fr\/wp-json\/wp\/v2\/types\/wsa_session"}],"wp:attachment":[{"href":"https:\/\/woncaeurope2026.org\/fr\/wp-json\/wp\/v2\/media?parent=20187"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}