Reproductive -Aged Man with Inguinal Pain

A 39-year-old man with a history of uncomplicated vasectomy 8 months prior presented to the emergency department with left scrotal pain that had progressively worsened over 1 day. He denied fever, trauma, urinary symptoms, penile discharge, or risk factors for sexually transmitted infection (STI). The patient had moderate left inguinal, spermatic cord, and epididymal tenderness. Abdominal examination was benign. Urinalysis and scrotal ultrasound...