Acute scrotum is a common surgical emergency in adolescent and young males with testicular torsion and epididymo-orchitis being the two most common causes. Early clinical diagnosis and use of investigation like Doppler of scrotum is essential in differentiating these two conditions. We report a case of 14 year old boy who had presented to us with right scrotal swelling of four days duration with fever. This patient was found to have gangrene of the testis due to torsion that was neglected by the patient and the family.