A 51-year-old man presented to an emergency clinic with a 2-week history of testicular swelling. He had complained of left inguinal swelling and pain 2 weeks prior and was admitted with a suspected incarcerated inguinal hernia. He was subsequently discharged on antibiotics. The swelling in his left groin disappeared but was replaced by gross testicular swelling and pain. His past medical history includes hypothyroidism and dilated cardiomyopathy. He was haemodynamically normal on admission with no fever.
His inflammatory markers revealed a high WCC and a CRP>250. CT scan image is attached. What could be the possible diagnosis on the basis of CT results? What treatment would you suggest? *This case is by Docplexus Editorial Team for educative purpose only