A 10-year-old boy is brought to the ED by his mom for a 2-hour history of right-sided scrotal pain. Physical exam shows a tender right hemiscrotum. There is a blue-colored mass is visible through the scrotal skin near the superior pole of the right testis. Palpation of the inner thigh demonstrates retraction of the testes bilaterally. Doppler ultrasound reveals normal blood flow to both testes. The left testis and hemiscrotum are unremarkable. Which of the following is the most likely explanation for this patient’s acute presentation?
Epididymitis
Incarcerated inguinal hernia
Testicular torsion
Torsion of appendix testis
Varicocele
Incarcerated inguinal hernia
Testicular torsion
Torsion of appendix testis
Varicocele
