case_images: PMC10838155_01
case_images: A doppler ultrasound image of the right groin shows an oval-shaped heterogeneous structure with peripheral vascularity (yellow arrow).
case_images: cureus-0016-00000051664-i01.jpg
case_images: PMC10838155_01_cureus-0016-00000051664-i01.jpg
case_images: FIG1
case_images: The on-call resident radiologist was called, and a gray scale and doppler ultrasound were done (Figure 1).
case_images: Ultrasound image of the scrotum shows empty scrotum (yellow arrow).
case_images: cureus-0016-00000051664-i02.jpg
case_images: PMC10838155_01_cureus-0016-00000051664-i02.jpg
case_images: FIG2
case_images: It showed an empty scrotum (Figure 2).
case_images: Ultrasound image of the left groin shows a small inguinal testicle (yellow arrow).
case_images: cureus-0016-00000051664-i03.jpg
case_images: PMC10838155_01_cureus-0016-00000051664-i03.jpg
case_images: FIG3
case_images: The left groin showed small but otherwise normal looking testicle (Figure 3), and the right showed the oval shaped heterogeneous structure with mixed internal heterogeneousity and absent internal flow on color doppler.
case_images: A color doppler ultrasound image of the right groin shows a heterogenous hypoechoic oval-shaped structure representing an infarcted testicle (white arrow), with peripheral vascularity representing a twisted spermatic cord (yellow arrow).
case_images: cureus-0016-00000051664-i04.jpg
case_images: PMC10838155_01_cureus-0016-00000051664-i04.jpg
case_images: FIG4
case_images: Circumferentially, there was increased flow at the periphery with traceable flow from the lower pole, going toward the inguinal vessels, most likely in keeping with testicular torsion and even possibly infarcted inguinal testicle (Figure 4).