Testicular torsion is a surgical emergency which if left untreated results in compromise of blood flow to the testicle and the testis dies. The diagnosis is mainly clinical. Doppler Ultrasound scanning can assist in doubtful cases. Early exploration (< 6 hours) has a 100% salvage rate as compared to 20% if intervention is delayed for 24 hours. We report a case of missed diagnosis of testicular torsion in a 16 year old boy, managed conservatively, resulting in testicular atrophy. We would also like to highlight the importance of clinical diagnosis and prompt intervention in such cases.