HighlightsTesticular hemangioma is exceedingly rare and typically occurs in patients younger than 20 years.Hemangiomas of the testis have a similar sonographic and magnetic resonance imaging appearance to that of malignant tumors of the testis, especially seminoma.Clinicians and pathologists must be aware of the rare entity of testicular hemangiomas, as clinical examination and imaging studies do not often suffice to arrive at a correct diagnosis.The association of testicular torsion with testicular hemangioma is a rarity in children.