That's the face of a man who has just had his testicle removed from his esophagus.
I'll tell my hit in the nuts story.
I played roller hockey throughout my teens and into my 20s. Was warming up for a tournament early, didn't have my cup on yet, and (stupidly) say down behind a goal to retie my skates while others were warming up. Some guys hits a slapshot that he curves just around the net and the ball* strikes my nuts squarely while they were basically resting just on the floor as I was in the seated position on the ground - effectively sandwiching them hard.
I cannot explain the immense pain I felt. I couldn't breathe and therefore couldn't even yell or scream for several seconds. So, I'm laying there in absolute pain until somebody realizes it and like three guys help me get off the rink and over the boards. For about the next hour or two I laid on the grass in indescribable pain with as much ice as anybody could get me. I puked twice. I had to miss my first game and when the pain subsided some I played the remainder of the tournament beyond sore.
That nut shot was far and away the most intense and excruciating pain I've ever felt. But, the next day I felt significantly better and in a few days I was back to normal. And to the best of my knowledge and belief I had no lasting effects.**
Point being, I hope the above is what happened to Pulicic.
* It was an outdoor tournament where a roller hockey ball is used instead of a puck and they are much easier to curve on a shot.
** I do actually have issues with my swimmers that make it statistically improbable for me to bear children, but I believe it's unrelated to this incident.