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Review Question - QID 210689

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QID 210689 (Type "210689" in App Search)
A 32-year-old man presents to his primary care physician complaining of pain accompanied by a feeling of heaviness in his scrotum. He is otherwise healthy except for a broken arm he obtained while skiing several years ago. Physical exam reveals an enlarged “bag of worms” upon palpation of the painful scrotal region. Shining a light over this area shows that the scrotum does not transilluminate. Which of the following statements is true about the most likely cause of this patient's symptoms?