Mr. X, a 54-year-old male, presented with severe testicular pain radiating to his abdomen along with vomiting. His medical history included diabetes for 15 years and a hernia surgery. On examination, his testicles were painful. Laboratory tests found elevated white blood cell count. Ultrasound showed normal blood flow to both testicles. He was diagnosed with orchitis and treated with antibiotics, antiemetics, and analgesics. At discharge, he was advised to continue metformin and insulin therapy.