The ack was a guess because it fails with ACK timeout. After looking at the logs the ACK times out because there is a problem sending the SIP packets.
The snippet below seems to be the problem area: It fails trying to send the 200 OK due to some network error.
Do you possibly have selinux or some firewall or ALG up that might be restricting certain packet flows? I noticed they change ports mid call so something lurking in the traffic may get confused along the way.
I would check for all of the above and systematically eliminate them to rule it out.
Original INVITE:
recv 1147 bytes from udp/[192.168.250.69]:10120 at 07:11:38.945428:
RE-INVITE:
recv 1171 bytes from udp/[192.168.250.69]:5060 at 07:11:44.399825:
TROUBLESOME AREA OF LOG:
tport_tsend(0x7fa7306a1b10) tpn = UDP/192.168.250.69:5060
nua: nua_respond: entering
nua(0x7fa73043d880): sent signal r_respond
tport_resolve addrinfo = 192.168.250.69:5060
tport_by_addrinfo(0x7fa7306a1b10): not found by name UDP/192.168.250.69:5060
tport_vsend(0x7fa7306a1b10): Operation not permitted with (s=25 UDP/192.168.250.69:5060)
tport_vsend returned -1
incoming_reply: tport_tsend: Operation not permitted
incoming_reply: tport_tsend: error (Operation not permitted) while sending 200 OK for INVITE (52210564)
nua(0x7fa73043d880): ready call updated: completed sent answer
soa_get_local_sdp(static::0x7fa730049800, [0x7fa73b035cb8], [0x7fa73b035cb0], [(nil)]) called
soa_get_params(static::0x7fa730049800, ...) called
nua(0x7fa73043d880): event i_state 200 OK
nua(0x7fa73043d880): recv signal r_respond 200 OK
nua(0x7fa73043d880): event i_error 500 Already Sent Final Response
nua: nua_application_event: entering
2012-05-08 09:11:44.976863 [DEBUG] switch_core_session.c:900 Send signal sofia/in/+
31492780040@192.168.250.69 [BREAK]
nua: nua_application_event: entering
2012-05-08 09:11:44.976863 [DEBUG] switch_core_session.c:900 Send signal sofia/in/+
31492780040@192.168.250.69 [BREAK]
nua: nua_handle_magic: entering
2012-05-08 09:11:44.976863 [DEBUG] sofia.c:5601 Channel sofia/in/+
31492780040@192.168.250.69 entering state [completed][200]
nua: nua_handle_magic: entering
nua: nua_handle_magic: entering
nua: nua_handle_magic: entering
nta: sending final response failed, timeout 100 response
nua: process_ack_or_cancel: entering
nua(0x7fa73043d880): event i_error 408 ACK Timeout
nua: nua_stack_set_params: entering
pcaps only tell 25% of the story