Testicular torsion in a neonate; a case report

The testicular torsion which is typically seen in prepuberty is very rare in the early neonatal period; prenatal diagnosis is difficult. Herein, we report a five day-old male neonate with swelling and erythema of the right scrotum.  Following Doppler ultrasound suggestive of testicular torsion, surgical exploration was undertaken. There was gangrene of the right testis with discoloration and necrosis   due to complete extravaginal torsion.  Right orchidectomy, along with a fixation of the left testis was performed. While perinatal testicular torsion is a rare condition, if a case is found it should be considered as an emergency situation. Treatment in the neonatal period is mandatory.