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Question #7

This young man presented with an acutely painful scrotum. This is an intra-operative photo.

Which is the most correct response



 
A. this problem should always be investigated preoperatively with a duplex ultrasound
B. surgery unlikely to help at this advanced stage and the testis should be left insitu
C. surgery unlikely to help at this advanced stage and the testis should be removed
D. surgery unlikely to help at this advanced stage and the testis should be removed and an orchidopexy performed on the contralateral side
E. this is a testicular tumour with haemorrhage