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7-month-old male with scrotal swelling
  1. Daniel Thimann,
  2. Mohamed Badawy
  1. Department of Pediatrics, Division of Emergency Medicine, Children's Medical Center, Dallas, Texas, USA
  1. Correspondence to Dr Daniel Thimann, Pediatric Emergency Medicine, Children's Medical Center, 1935 Medical District Drive, Dallas, TX 75235, USA; Daniel.thimann{at}

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A 7-month-old male presents to the emergency department with a three-day history of left scrotum swelling. Parents report no fevers and normal urine output. The left testicle is firm and not tender; cremasteric reflex is present. An ultrasound is performed (figures 1

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  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.