title: [Isolated orchidodynia as the initial symptom of aneurysm of the abdominal aorta].
abstract: A 67-year-old man presented with isolated pain of the right testicle. He was admitted and treated for epididymitis. His symptoms did not improve and lower abdominal pain developed. After hypotension and severe anaemia (Hb 2.1 mmol/l) had developed, abdominal echography was carried out, revealing a ruptured abdominal aortic aneurysm. The patient underwent surgical repair with an aortic-bifemoral prosthesis and was ultimately discharged without further complications. This is the fourth report in the literature of orchidodynia as referred pain from an aneurysm of the abdominal aorta.
authors.affiliation: Afd. Intensive Care, Ziekenhuis Gelderse Vallei, Postbus 9025, 6716 HN Ede.
authors.forename: R
authors.initials: R
authors.lastname: van Vugt
authors.forename: L K
authors.initials: LK
authors.lastname: Valk
authors.forename: H J
authors.initials: HJ
authors.lastname: van Leeuwen
authors.forename: D H T
authors.initials: DH
authors.lastname: Tjan
authors.forename: C
authors.initials: C
authors.lastname: van der Waal
authors.forename: A R H
authors.initials: AR
authors.lastname: van Zanten
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D003937:Diagnosis, Differential; D004823:Epididymitis / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D014463:Ultrasonography