Introduction: Polyorchidism is a rare medical condition, which is presence of more than two testes within the scrotum. Triorchidism is the more common form and the diagnosis is made with ultrasonography. One of the common anomalies associated with polyorchidism is testicular torsion. Case Report: We report a case with four testes and testicular torsion in one testis. Conclusion: Testicular torsion in patients with polyorchidism is extremely rare and color Doppler ultrasound scan is the main diagnostic tool.