Abstract / Summary
Neonatal testicular torsion (NTT) is a rare condition that carries a substantial risk of ischemia, necrosis, and subsequent testicular loss.When the event occurs before birth, it is classified as prenatal torsion, a typically non-acute entity with an incompletely understood pathophysiology and limited potential for testicular salvage.Clinically, prenatal torsion often presents as a painless, firm, and enlarged testis and may remain unrecognized without careful neonatal examination.Although color Doppler ultrasonography provides valuable diagnostic support by assessing testicular morphology and perfusion, surgical exploration remains the definitive diagnostic and therapeutic approach.The authors describe a term male neonate in whom a painless, firm enlargement of the right testis was detected during routine newborn assessment and subsequently confirmed to represent prenatal testicular torsion.Owing to the absence of testicular viability, right orchiectomy was performed, accompanied by prophylactic orchiopexy of the contralateral testis.This report highlights the challenges involved in recognizing prenatal testicular torsion and underscores the importance of systematic neonatal examination, accurate differentiation from postnatal torsion, and appropriate clinical follow-up.Ongoing documentation of such cases remains crucial to advancing clinical knowledge and supporting the development of evidence-informed management strategies.