Segmental testicular infarction: diagnosis and strategy.
OBJECTIVE
We report the usefulness of ultrasonography and magnetic resonance imaging (MRI) findings in testicular infarction, in order to avoid surgical exploration.


METHODS
In December 2000, a 37-year-old African male presented with left testicular pain and no prior history of trauma. Physical examination, ultrasonography and MRI were performed by an experienced radiologist (D.T.), which suggested a segmental testicular infarction. Surgical exploration was not performed and a period of watchful waiting with evolution control by ultrasonography was decided.


RESULTS
After a 3 month follow-up, the ultrasonography control revealed a total re-vascularization of the vessels and a reduction of the lesion size.


CONCLUSIONS
The authors suggest that the combination of ultrasonography and MRI, in the management of testicular infarction, may avoid invasive surgery.
Sentilhes
Loïc
L
Department of Urology, Rouen Charles Nicolle University Hospital, France.
Dunet
Frédérick
F
Thoumas
Denis
D
Khalaf
Alain
A
Grise
Philippe
P
Pfister
Christian
C
D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D007238:Infarction / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D008297:Male; D010146:Pain / Q000209:etiology; D010808:Physical Examination; D013737:Testis / Q000098:blood supply*; D018615:Ultrasonography, Doppler, Color