A 3giicgg4ql614 3giicgg4ql6year 3giicgg4ql6old 3giicgg4ql6boy 3giicgg4ql6presents 3giicgg4ql6to 3giicgg4ql6the 3giicgg4ql6Emergency 3giicgg4ql6Department 3giicgg4ql6with 3giicgg4ql6severe 3giicgg4ql6left-sided 3giicgg4ql6testicular 3giicgg4ql6pain 3giicgg4ql6that 3giicgg4ql6began 3giicgg4ql64 3giicgg4ql6hours 3giicgg4ql6ago. 3giicgg4ql6He 3giicgg4ql6reports 3giicgg4ql6no 3giicgg4ql6fever 3giicgg4ql6or 3giicgg4ql6urinary 3giicgg4ql6symptoms. 3giicgg4ql6Examination 3giicgg4ql6reveals 3giicgg4ql6a 3giicgg4ql6tender 3giicgg4ql6and 3giicgg4ql6swollen 3giicgg4ql6left 3giicgg4ql6hemiscrotum. 3giicgg4ql6What 3giicgg4ql6is 3giicgg4ql6the 3giicgg4ql6most 3giicgg4ql6appropriate 3giicgg4ql6initial 3giicgg4ql6step?