Bilateral Torsion of Testes with Purpura Fulminans.

ABSTRACT

Background: Purpura fulminans and bilateral perinatal testicular torsion are rare and may co-exist. Case characteristics A 3-day-old neonate with bilateral swelling of scrotum; torsion and gangrenous changes were observed on exploration. Interventions: Left orchidectomy with preservation of right testis was done. Outcome: At 2-month follow-up, right testis showed signs of atrophy. Child developed full thickness skin lesions and died of sepsis. Message Perinatal testicular torsion can be bilateral, and requires urgent surgical exploration.