Skip to main content

Thank you for visiting You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Perinatal/Neonatal Case Presentation

Intrauterine Torsion of a Testicular Teratoma: A Case Report


Neonatal testicular tumors and intrauterine testicular torsions are very rare. The presented case is the first describing intrauterine torsion of a descended testis with a teratomatous tumor. Immediately after birth, right hemiscrotal swelling was seen in a preterm male newborn. Surgical intervention showed extravaginal testicular torsion and a highly differentiated testicular teratoma with haemorrhagic infarction. The testis was removed (orchiectomy). Over a period of twelve months no signs of tumor recurrence were found. While being extremely rare, testicular tumors should be included in the differential diagnosis of neonatal scrotal swelling.

This is a preview of subscription content, access via your institution

Access options

Buy article

Get time limited or full article access on ReadCube.


All prices are NET prices.

Figure 1
Figure 2


  1. Esterl D, Brock C . Torsion of an abdominal testis with differentiated teratoma. Zentralbl Chir 1985;110(16):1015–1018.

    CAS  PubMed  Google Scholar 

  2. Nelson Jr DW, Calley N . Torsion of a teratoma in an undescended intra-abdominal testis: ultrasonographic findings. J Clin Ultrasound 1987;15(6):401–404.

    Article  Google Scholar 

  3. Das S, Singer A . Controversies of perinatal torsion of the spermatic cord: a review, survey and recommendations. J Urol 1990;143(2):231–233 (Review).

    CAS  Article  Google Scholar 

  4. van der Sluijs JW, den Hollander JC, Lequin MH, Nijman RM, Robben SG . Prenatal testicular torsion: diagnosis and natural course. An ultrasonographic study. Eur Radiol 2004;14(2):250–255.

    Article  Google Scholar 

  5. Stone KT, Kass EJ, Cacciarelli AA, Gibson DP . Management of suspected antenatal torsion: what is the best strategy? J Urol 1995;153(3 Part 1):782–784.

    CAS  Article  Google Scholar 

  6. Sorensen MD, Galansky SH, Striegl AM, Mevorach R, Koyle MA . Perinatal extravaginal torsion of the testis in the first month of life is a salvageable event. Urology 2003;62(1):132–134 (Review).

    Article  Google Scholar 

  7. Garrett JE, Cartwright PC, Snow BW, Coffin CM . Cystic testicular lesions in the pediatric population. J Urol 2000;163(3):928–936 (Review).

    CAS  Article  Google Scholar 

  8. Brosman SA . Testicular tumors in prepubertal children. Urology 1979;13(6):581–588 (Review).

    CAS  Article  Google Scholar 

  9. Levy DA, Kay R, Elder JS . Neonatal testis tumors: a review of the Prepubertal Testis Tumor Registry. J Urol 1994;151(3):715–717.

    CAS  Article  Google Scholar 

  10. Wu JT, Book L, Sudar K . Serum alpha fetoprotein (AFP) levels in normal infants. Pediatr Res 1981;15(1):50–52.

    CAS  Article  Google Scholar 

  11. Metcalfe PD, Farivar-Mohseni H, Farhat W, McLorie G, Khoury A, Bagli DJ . Pediatric testicular tumors: contemporary incidence and efficacy of testicular preserving surgery. J Urol 2003;170(6 Part 1):2412–2415; discussion 2415–6.

    Article  Google Scholar 

  12. Rushton HG, Belman AB, Sesterhenn I, Patterson K, Mostofi FK . Testicular sparing surgery for prepubertal teratoma of the testis: a clinical and pathological study. J Urol 1990;144(3):726–730.

    CAS  Article  Google Scholar 

Download references

Author information

Authors and Affiliations


Rights and permissions

Reprints and Permissions

About this article

Cite this article

Führer, S., May, M., Koch, A. et al. Intrauterine Torsion of a Testicular Teratoma: A Case Report. J Perinatol 25, 220–222 (2005).

Download citation

  • Published:

  • Issue Date:

  • DOI:

This article is cited by


Quick links