title: Testicular angina during hemodialysis: an unusual complication of ultrafiltration.
abstract: During hemodialysis, the development of hypotension or symptoms suggestive of ischemia is used as a surrogate marker for the establishment of dry weight. These symptoms manifest commonly as muscle cramps, chest pain or abdominal pain. Hemodialysis patients are also prone to vascular calcification which may be medial or intimal. We report the case of a 68-year-old male who developed testicular pain while attempting to establish dry weight. Computerized tomography scan of his abdomen showed extensive vascular calcification. The end result in this case was bilateral orchiectomy. Histopathology revealed hyperplastic arteriolosclerosis with intimal calcification contributing to ischemia.
authors.affiliation: Division of Nephrology and Hypertension, Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, Louisiana 71130, USA. aseque@lsuhsc.edu
authors.forename: Adrian
authors.initials: A
authors.lastname: Sequeira
authors.forename: Mary
authors.initials: M
authors.lastname: Buffington
authors.forename: Xin
authors.initials: X
authors.lastname: Gu
authors.forename: Kenneth
authors.initials: K
authors.lastname: Abreo
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D006435:Renal Dialysis / Q000009:adverse effects*; D013733:Testicular Diseases / Q000209:etiology* / Q000473:pathology; D013737:Testis / Q000098:blood supply* / Q000473:pathology; D014462:Ultrafiltration / Q000009:adverse effects*; D014689:Venous Insufficiency / Q000473:pathology