title: [Segmentary testicular infarction].
abstract: OBJECTIVE
  A new case of segmental testicular infarction is reported.
  
  
  METHODS
  A 52-year-old man presented to the emergency department with severe pain in the left testicle over a few days period. Physical examination revealed a tender induration in the upper pole of the left testicle. Beta-human chorionic gonadotropin and alpha-fetoprotein were normal. Sonography demonstrated a poorly-defined, hypoechoic, 13 mm lesion. On power Doppler sonography, the hypoechoic area appeared completely avascular in contrast to the rest of the testicle.
  
  
  RESULTS
  Since testicular tumor was the initial diagnosis, the patient underwent a left radical orchiectomy. Pathological study revealed a focal testicular infarction, without signs of malignancy or vasculitis.
  
  
  CONCLUSIONS
  Segmental testicular infarction is usually diagnosed after radical orchiectomy, performed when testicular tumor is suspected. On certain occasions Doppler ultrasound and magnetic resonance imaging findings suggested a segmental testicular infarction. However, if tumor cannot be entirely excluded, exploratory surgery is necessary.
authors: Servicios de Urología, Hospital del Bierzo, Ponferrada, León, España. sanchezuro@hotmail.com
authors: José María
authors: JM
authors: Sánchez Merino
authors: José Carlos
authors: JC
authors: López Pacios
authors: María del Carmen
authors: Mdel C
authors: Piñeiro Fernández
authors: Sergio Carlos
authors: SC
authors: Gómez Cisneros
authors: Jesús
authors: J
authors: García Alonso
mesh_terms: D006801:Humans; D007238:Infarction / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D013737:Testis / Q000098:blood supply*