Overview Introduction A 13-year-old boy presents to the urgent care clinic and reports pain in his scrotal area. He denies any rashes or inciting trauma. The pain is dull and does not radiate anywhere. On physical exam, there is a “bag of worms” on palpation of the left scrotum. The scrotum does not transilluminate with light. Introduction Clinical definition login to view 1 more bullet Epidemiology login to view 9 more bullets Etiology login to view 4 more bullets Pathogenesis login to view 1 more bullet Presentation Symptoms login to view 6 more bullets Physical exam login to view 5 more bullets Imaging Ultrasound with doppler login to view 7 more bullets Differential Hydrocele login to view 1 more bullet Testicular torsion login to view 1 more bullet Treatment Conservative login to view 4 more bullets Operative login to view 5 more bullets Complications Infertility due to increased temperature Testicular atrophy