Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 6 4 2021 11 24 137 140 Behzad Lotfi Department of Urology, Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran. 2020 08 14 2020 09 11 Bilateral testicular torsion is a rare condition. We report a case of a male newborn with bilateral enlarged and firm testes. Color-Doppler revealed no evidence of vascular flow in both testes. Although intraoperative findings were in favor of bilateral infarcted and gangrenous testes, the patient underwent bilateral orchiopexy after conferring with his parents. At six- month follow-up, both testicles were atrophic. Management of bilateral neonatal testicular torsion is controversial and includes conservative management, orchiopexy, and orchiectomy. The possibility of salvaging testis in neonatal testicular torsion is very low in each treatment modality. https://crcp.tums.ac.ir/index.php/crcp/article/view/399