[Scrotal pain as the presenting symptom of metastatic sigmoid cancer].

Colorectal cancer is one of the most common malignancies globally, and typical sites of metastasis include the liver and lungs; however, metastasis to the testes is exceedingly rare. We report a case where a 54-year-old male presented with acute scrotal pain and swelling. Scrotal ultrasound revealed a solid mass, and further investigations identified metastatic adenocarcinoma originating from the sigmoid colon. This case highlights the importance of considering malignancy in older patients with scrotal symptoms, especially when common causes have been ruled out.