17th August 2020

A 40-year-old man who is a builder presents to ED with an acutely painful scrotum

A 40-year-old man who is a builder presents to ED with an acutely painful scrotum. The pain started when he got out of bed this morning. The pain is worse when he coughs. He noticed a lump in his scrotum a few days ago. On examination, the right side of his scrotum appears erythematous and slightly swollen. There is a tender, palpable mass superior to the right testis, but you cannot get above this on palpation. He is afebrile and has normal observations.

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.