Segmental infarction of the testis: an exceptional complication of diabetes microangiopathy.
We report a case of segmental infarction of the testis in a 55-year-old man. Past medical history included 12 years of type II diabetes and hypertension. The patient presented with a 2-month history of testicular pain and was found clinically and sonographically to have a testicular tumour. The pathological examination of the partial orchiectomy specimen revealed segmental infarction of the testicle secondary to diabetes microangiopathy. We propose diabetes microangiopathy as a localization and aetiology of segmental testicular infarction. A possible testicular sparing procedure through an inguinal approach may be considered in cases of testicular masses for which the clinical and imaging findings are suggestive of focal testicular infarction.
El Atat
R
R
Department of Urology, Charles Nicolle Hospital, Tunis, Tunisia. atat_rabii@yahoo.fr
Derouiche
A
A
Kourda
N
N
Hammami
A
A
Chebil
M
M
Ben Jilani
S
S
Ayed
M
M
D003925:Diabetic Angiopathies / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007238:Infarction / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013733:Testicular Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014463:Ultrasonography