Spontaneous testicular hemorrhage is a very rare pathology, especially in children. We report an interesting case of spontaneous testicular hemorrhage in a 15-year-old boy. There were no associated constitutional symptoms and no history of trauma, infection, or bleeding disorders. Tumor markers, hemogram parameters, and biochemical tests were normal. At scrotal exploration, there was no evidence of testicular torsion or any other pathology. A scrotal orchiectomy was performed. The main histopathological findings were diffuse hematoma, interstitial hemorrhage, and coagulative necrosis. The synchronized evaluation of clinical and ultrasonographic findings and an appropriate histopathological evaluation can usually diagnose this rare pathology. UROLOGY 78: 915-917, 2011. (C) 2011 Elsevier Inc.