Which of the following is a symptom of testicular torsion?

The symptom of a transverse lie of the testicle is indeed associated with testicular torsion. In this condition, the testicle rotates around the spermatic cord, which can lead to an abnormal position. Normally, the testis is situated in a vertical position within the scrotum, but when torsion occurs, it may adopt a horizontal or transverse position. This positional change serves as a clinical indicator that can assist in diagnosis.

Other symptoms of testicular torsion typically include acute, severe unilateral testicular pain, swelling, and potentially nausea. The condition usually presents with an absence of the cremasteric reflex (where the testicle rises upon stimulation of the inner thigh), and pain lasting over 48 hours generally indicates a more chronic issue rather than the acute nature of torsion. Thus, the transverse lie serves as a key indicator when assessing for this acute, surgical emergency.