title: Bilateral torsion of testes with purpura fulminans.
abstract: BACKGROUND
  Purpura fulminans and bilateral perinatal testicular torsion are rare and may co-exist.
  
  
  METHODS
  A 3-day-old neonate with bilateral swelling of scrotum; torsion and gangrenous changes were observed on exploration.
  
  
  METHODS
  Left orchidectomy with preservation of right testis was done.
  
  
  RESULTS
  At 2-month follow-up, right testis showed signs of atrophy. Child developed full thickness skin lesions and died of sepsis.
  
  
  CONCLUSIONS
  Perinatal testicular torsion can be bilateral, and requires urgent surgical exploration.
authors.affiliation: Departments of Pediatric Surgery; and *Pediatrics and Neonatology, Pondicherry Institute of Medical Sciences, Pondicherry 605 014, India. Correspondence to: Dr Anjan Kumar Dhua, Department of Pediatric Surgery, Kalapet, Pondicherry 605 014, India. anjandhua@hotmail.com.
authors.forename: Anjan Kumar
authors.initials: AK
authors.lastname: Dhua
authors.forename: Manoj
authors.initials: M
authors.lastname: Joshi
authors.forename: Nishad
authors.initials: N
authors.lastname: Plakkal
authors.forename: Lalitha
authors.initials: L
authors.lastname: Krishnan
mesh_terms: D017809:Fatal Outcome; D005734:Gangrene; D006225:Hand / Q000473:pathology; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009919:Orchiectomy; D055665:Purpura Fulminans; D012867:Skin / Q000473:pathology; D013086:Spermatic Cord Torsion; D013737:Testis / Q000473:pathology; D014034:Toes / Q000473:pathology