case_images: PMC6256121_01
case_images: Preoperative photo of the external genitals.
case_images: fped-06-00318-g0001.jpg
case_images: PMC6256121_01_fped-06-00318-g0001.jpg
case_images: F1
case_images: A 2-day old, male baby, product of a normal vaginal delivery, had a right hemi-scrotal swelling since birth, with bluish scrotal pigmentation (Figure 1).
case_images: Doppler US showed (A) no blood flow to the right testis with (B) preservation of the vascularity of the left testis.
case_images: fped-06-00318-g0002.jpg
case_images: PMC6256121_01_fped-06-00318-g0002.jpg
case_images: F2
case_images: Color Doppler Ultrasound of the scrotum, showed absence of vascularity in the right testis and maintained blood flow to the other one (Figure 2).
case_images: Intraoperative photo showing (A) extra-vaginal torsion of the right side with necrotic testis after opening the tunica vaginalis, (B) left side early onset of extra-vaginal TT and tunica vaginalis freely moving within the hemiscrotal sac with viable testis within it.
case_images: fped-06-00318-g0003.jpg
case_images: PMC6256121_01_fped-06-00318-g0003.jpg
case_images: F3
case_images: Right scrotal exploration was done through midline raphe incision and revealed right extra-vaginal testicular torsion with a necrotic testis (Figure 3A). Contralateral exploration showed extra-vaginal testicular torsion with normal vascularity (Figure 3B).