[Bilateral testicular ischemia in vasculitis. Differential diagnosis with torsion and the value of color Doppler ultrasonography].
The authors report a case of acute bilateral testicular pain simulating simultaneous bilateral torsion of the spermatic cord in a 22-year-old man. Duplex ultrasound revealed parenchymal ischaemia secondary to an early form of polyarteritis nodosa (PAN). Surgery, performed because of the doubtful differential diagnosis with torsion of the spermatic cord, excluded this hypothesis. The aetiological investigation, after excluding an infectious cause, consisted of revealing at least three diagnostic criteria necessary for the diagnosis of PAN among those defined by Godeau Guillevin or the American College of Rheumatology. The authors also discuss the value of duplex ultrasound in the follow-up of this disease.
Suty
J M
JM
Service d'Urologie, CHU Nancy-Brabois, Vandoeuvre.
Hubert
J
J
Duquenne
M
M
Weryha
G
G
Mangin
P
P
D000328:Adult; D003937:Diagnosis, Differential; D003949:Diagnostic Techniques, Surgical; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D010488:Polyarteritis Nodosa / Q000000981:diagnostic imaging* / Q000473:pathology; D013086:Spermatic Cord Torsion / Q000000981:diagnostic imaging*; D013733:Testicular Diseases / Q000000981:diagnostic imaging* / Q000473:pathology; D013737:Testis / Q000098:blood supply* / Q000473:pathology; D018615:Ultrasonography, Doppler, Color
Ischémie testiculaire bilatérale au cours d'une vascularite. Diagnostic différentiel avec la torsion et intérêt de l'écho Doppler couleur.