Segmental testicular infarction due to cholesterol embolism: not the first case, but the first report.
Segmental infarction of the testis represents a rare entity in that there have been fewer than 40 cases documented in the literature. Like global infarction, segmental infarction of the testis can masquerade as a mass lesion or torsion of the testis. Reported herein is a very rare case of segmental testicular infarction due to atheroembolism in a 58-year-old man. The patient presented with severe left testicular pain and underwent left high orchiectomy on the clinical diagnosis of testicular torsion. The testis had a segmental hemorrhagic necrosis around which many cholesterol emboli were observed. This is the first report to describe cholesterol embolism-associated segmental testicular infarction.
Department of Pathology, City Hospital of Ikeda, Ikeda, Japan. shiro-adachi@hosp.ikeda.osaka.jp
Shiro
S
Adachi
Koh-ichi
K
Tsutahara
Tatsuya
T
Kinoshita
Koji
K
Hatano
Toshio
T
Kinouchi
Masao
M
Kobayashi
Hitoshi
H
Inoue
Tsuyoshi
T
Takada
Tsuneo
T
Hara
Seiji
S
Yamaguchi
D003937:Diagnosis, Differential; D017700:Embolism, Cholesterol / Q000150:complications / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007238:Infarction / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013086:Spermatic Cord Torsion / Q000473:pathology; D013733:Testicular Diseases / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D013737:Testis / Q000098:blood supply* / Q000473:pathology / Q000601:surgery