title: [Asynchronous Bilateral Testicular Infarction with Suspected Polyarteritis Nodosa : A Case Report].
abstract: This report documents a case of asynchronous bilateral testicular infarction. The patient was a 42- year-old man who presented with left testicular pain and swelling. He had a past history of right idiopathic testicular infarction and underwent a right orchiectomy 6 years ago. He also had received treatment for 5 years for suspected polyarteritis nodosa (PAN). The left scrotal pain persisted for a week and left orchiectomy was performed. Pathological evaluations demonstrated a benign testis with testicular hemorrhage and chronic vasculopathy. There was no fibrinoid necrosis of medium-size vessel walls which characterizes PAN. In this report, we review the pathogenesis, risk of contralateral testicular infarction, and management of testicular infarction.
authors.affiliation: The Department of Urology, Yamagata University, Faculity of Medicine.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Kurokawa
authors.affiliation: The Department of Urology, Yamagata University, Faculity of Medicine.
authors.forename: Sei
authors.initials: S
authors.lastname: Naito
authors.affiliation: The Department of Urology, Yamagata University, Faculity of Medicine.
authors.forename: Osamu
authors.initials: O
authors.lastname: Ichiyanagi
authors.affiliation: The Department of Pathological Diagnostics, Yamagata University, Faculity of Medicine.
authors.forename: Aya
authors.initials: A
authors.lastname: Suto
authors.affiliation: The Department of Urology, Yamagata University, Faculity of Medicine.
authors.forename: Yuta
authors.initials: Y
authors.lastname: Kurota
authors.affiliation: The Department of Urology, Yamagata University, Faculity of Medicine.
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Sakurai
authors.affiliation: The Department of Urology, Yamagata University, Faculity of Medicine.
authors.forename: Hayato
authors.initials: H
authors.lastname: Nishida
authors.affiliation: The Department of Urology, Yamagata University, Faculity of Medicine.
authors.forename: Hisashi
authors.initials: H
authors.lastname: Kawazoe
authors.affiliation: The Department of Urology, Yamagata University, Faculity of Medicine.
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Kato
authors.affiliation: The Department of Urology, Yamagata University, Faculity of Medicine.
authors.forename: Akira
authors.initials: A
authors.lastname: Nagaoka
authors.affiliation: The Department of Urology, Yamagata University, Faculity of Medicine.
authors.forename: Hiromi
authors.initials: H
authors.lastname: Ito
authors.affiliation: The Department of Pathological Diagnostics, Yamagata University, Faculity of Medicine.
authors.forename: Mitsunori
authors.initials: M
authors.lastname: Yamakawa
authors.affiliation: The Department of Urology, Yamagata University, Faculity of Medicine.
authors.forename: Norihiko
authors.initials: N
authors.lastname: Tsuchiya
mesh_terms: D000328:Adult; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007238:Infarction / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D064847:Multimodal Imaging; D009919:Orchiectomy; D010146:Pain / Q000209:etiology; D010488:Polyarteritis Nodosa / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D013733:Testicular Diseases / Q000150:complications / Q000601:surgery; D014057:Tomography, X-Ray Computed