Sonographic appearance of isolated necrotizing vasculitis of the testis.
The presentation of necrotizing vasculitis of the testis is variable and may mimic a testicular tumor. Necrotizing vasculitis of the testis is characterized by fibrinoid necrosis of the walls of small and medium-sized testicular arteries. We report a patient with isolated necrotizing vasculitis of the testis who presented with clinical imaging findings suspicious for testicular neoplasm. We describe the clinical course and sonographic characteristics of evolving necrotizing vasculitis of the testis, briefly review the literature, and discuss the implications for the diagnosis and management of this condition.
Presbyterian Hospital of Dallas, Department of Urology, 8230 Walnut Hill Lane, Suite 700, Dallas, TX 75231, USA.
Pat Fox
PF
Fulgham
Pamela
P
Jensen
D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009336:Necrosis; D013733:Testicular Diseases / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D014463:Ultrasonography; D014657:Vasculitis / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery