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A 19-year-old man presented to emergency department with acute scrotum of the left testis. On physical examination, it was difficult to distinguish clinically between testicular torsion and orchitis. Ultrasound of the scrotum showed normal echo texture of the right testis (figure 1) and enlarged hypoechoic left testis and an oedematous scrotum (figure 2). Doppler ultrasound showed increased, diffused colour of left testis that means increased vascularity and hyperaemia, …