VATICAN CITY (AP) — The Vatican's sexual abuse case against ex-Cardinal Theodore McCarrick has expanded significantly after a man testified that the retired American archbishop sexually abused him for years starting when he was 11, including during confession.

James Grein testified Thursday in New York before the judicial vicar for the New York City archdiocese, who was asked by the Holy See to take his statement for the Vatican's canonical case, said Grein's attorney Patrick Noaker.

The testimony, which lasted about an hour, was difficult and stressful but Grein was proud to have done it, Noa...