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Updated: Jun 28, 2026

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Published on: July 16, 2021
Perinatal testicular torsion in siblings
1Department of Urology, Loyola University Medical Center, Building 54, Room 244, 2160 S. First Avenue, Maywood, IL 60153, USA. agorbonos@lumc.edu
Abstract:
The management of perinatal torsion remains a controversial topic in pediatric urology. We present two cases of brothers diagnosed with perinatal torsion during the postnatal period. The first brother experienced bilateral torsion, with both testes found to be unsalvageable during emergent surgery on day 4 of life. Two years later the second brother was found on his newborn exam to have findings consistent with unilateral left testicular torsion. Emergent exploration was undertaken that confirmed the left testis to be necrotic. The contralateral testis was found to be normal and a fixation procedure was undertaken.
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