Anomalies of the epididymis are most commonly associated with an undescended testis but also found occasionally in a normally descended testis. Our 11- year-old patient presented with an acute scrotum and Doppler ultrasound that suggested epididymitis. Painful symptoms required scrotal exploration with the finding of a torsion and infarction of the epididymis. The etiology of the torsion was an abnormal attachment of the epididymis to the testis. Torsion of the epididymis has not previously been reported. Anomalies of the epididymis are most commonly associated with an undescended testis but also found occasionally in a normally descended testis. Our 11-year-old patient presented with an acute scrotum and Doppler ultrasound that suggested epididymitis. Painful symptoms required scrotal exploration with the finding of a torsion and infarction of the epididymis. The etiology of the torsion was an abnormal attachment of the epididymis to the testis. Torsion of the epididymis has not previously been reported.