Newborn with an enlarged left testis and left scrotal erythema and edema

Surgical image of testicular torsion
Surgical image (above) shows left extravaginal testicle torsion with the spermatic cord twisted 360 degrees. Surgical image (below) after left testicle detorsion shows the discrepancy in appearance between the two testicles with the now detorsed left testicle appearing congested, enlarged and necrotic. The left testicle did not appear viable. A left orchiectomy and right orchiopexy were performed.

The diagnosis was left testicle torsion.