title: Segmental infarction of the testis: an exceptional complication of diabetes microangiopathy.
abstract: 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.
authors.affiliation: Department of Urology, Charles Nicolle Hospital, Tunis, Tunisia. atat_rabii@yahoo.fr
authors.forename: R
authors.initials: R
authors.lastname: El Atat
authors.forename: A
authors.initials: A
authors.lastname: Derouiche
authors.forename: N
authors.initials: N
authors.lastname: Kourda
authors.forename: A
authors.initials: A
authors.lastname: Hammami
authors.forename: M
authors.initials: M
authors.lastname: Chebil
authors.forename: S
authors.initials: S
authors.lastname: Ben Jilani
authors.forename: M
authors.initials: M
authors.lastname: Ayed
mesh_terms: 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