Neonatal testicular torsion with an unusual sonographic feature

Neonatal testicular torsion is a rare entity, the exact etiology of which is not elucidated. Imaging is performed using color Doppler ultrasound and scintigraphic studies with typically diminished testicular flow on the side with torsion. We present a case of testicular torsion in a newborn with increased testicular vascularity demonstrated by ultrasound and suggesting a torsion-detorsion sequence. Management of patients with torsion involves assessing the risks of neonatal surgery versus the possibility of finding viable testicular tissue at surgical exploration.