Redness Scrotum (Differential Diagnosis as before)

12.5-year-old boy with enlargement and redness of the left scrotum and thickening of the scrotal skin folds. Previously, there was a sudden onset of scrotal and testicular pain. The diagnosis is a progressed stage of acute testicular torsion of the left side which may also occur prior to puberty and any time during childhood. Torsions of the testis may lead to lower abdominal pain and vomiting; therefore, it is important in every case of 'surgical abdomen' and of suspected appendicitis to consider the possibility of lesions close to the abdomen, such as testicular torsion or incarcerated inguinal hernia, and the pediatric pathologies mentioned in $$abdo_11??££differential diagnosis§§.