Segmental Testicular Infarction: Case Series and Literature Review of a Rare Diagnosis in Men with Acute Testicular Pain.
The incidence of segmental testicular infarction (STI) is very low. Such a disorder most often affects young men. The most common symptom is sudden testicular pain. We report 6 cases of men diagnosed with STI. Clinical examination, blood test, urine analysis, and ultrasound examination with colour Doppler were performed. Furthermore, tissue sonoelastography or MRI was performed in selected patients. All men underwent surgical exploration. In all but one man, the affected testis was preserved. Although STI is a rare condition, it should be taken into account if testicular pain prior to suspicious ultrasound imaging occurs. To be aware of this benign testicular pathology and its clinical and imaging features is important to avoid unnecessary orchiectomies in young patients.
Department of Urology, Saarland University Medical Center, Homburg/Saar, Germany.
Simone
S
Ernst
Matthias
M
Saar
Horst
H
Brenneis
Reinhard
R
Kubale
Stefan
S
Ueberdiek
Carsten-Henning
CH
Ohlmann
Michael
M
Stoeckle
Julia
J
Heinzelbecker
D059787:Acute Pain; D000328:Adult; D054459:Elasticity Imaging Techniques; D006801:Humans; D007238:Infarction / Q000000981:diagnostic imaging*; D008279:Magnetic Resonance Imaging; D008297:Male; D009919:Orchiectomy; D013733:Testicular Diseases / Q000000981:diagnostic imaging*; D013737:Testis / Q000000981:diagnostic imaging* / Q000601:surgery; D018608:Ultrasonography, Doppler; D016482:Urinalysis; D014652:Vascular Diseases; D055815:Young Adult
Magnet resonance imaging; Male fertility; Orchiectomy; Surgery; Testicular pathologies; Ultrasound