Introduction Torsion of the testes results from twisting of the spermatic cord, which leads to a compromised testicular blood suply and subsequant testicular infarction. The consequant ischemic damage affects long-term testicular morphology and sperm formation.
Case We describe a case of 2 day-old boy who presented with bilateral visible swelling in the scrotum. Physical examination findings showed enlarged, hard, nontender right scrotal mass, and left hydrocele. Doppler ultrasonography demonstrated torsion of right testes and bilateral hydrocele. Exploration was performed using a median raphe incision in the scrotum. Right testes was delivered, detorsed, and placed in warm, moist sponges but it appeared nonviable and necrotic. Right orchiectomy was done. Left testes was normal, it was fixed to the scrotum. Postoperative recovery was uneventful.
Conclusion Perinatal testicular torsion is a rare condition. During newborn examination it must kept in mind if a scrotal mass or swelling occurs.