case_images: PMC9035904_01
case_images: Color Doppler image: Two testicles were lying in the left hemi-scrotum. The lower testicle (A) is smaller than the higher testicle (C) and has normal blood flow (B). There is no visible vascular flow in the higher testicle (D).
case_images: fped-10-823374-g0001.jpg
case_images: PMC9035904_01_fped-10-823374-g0001.jpg
case_images: F1
case_images: The higher mass, measuring 3.1 x 2.0 cm, did not have visible vascular flow inside on color Doppler examination (Figures 1C,D); the lower mass, measuring 1.9 x 1.5 cm, had visible vascular flow (Figures 1A,B).
case_images: Emergency scrotal exploration was performed; the upper left testicle was black and twisted 360  clockwise. The lower left testicle was normal in its color.
case_images: fped-10-823374-g0002.jpg
case_images: PMC9035904_01_fped-10-823374-g0002.jpg
case_images: F2
case_images: On gross examination, the two testicles share the same vas and two separate epididymites (Figure 2).