1. Testicular ischaemia: one of the most unknown of post-EVAR complications
- Author
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Laura Costa-Perez, Nuria Hostench-Junoy, Mauricio Ramirez-Montoya, and Bahaa Arefai-Refai
- Subjects
Male ,0301 basic medicine ,medicine.medical_specialty ,Ischemia ,Case Report ,030105 genetics & heredity ,Testicle ,Pathogenesis ,Blood Vessel Prosthesis Implantation ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Risk Factors ,Testis ,medicine ,Humans ,Aged ,Retrospective Studies ,business.industry ,Endovascular Procedures ,General Medicine ,Vascular surgery ,medicine.disease ,Surgery ,Treatment Outcome ,medicine.anatomical_structure ,Acute thrombosis ,Complication ,business ,030217 neurology & neurosurgery ,Scrotal Pain ,Aortic Aneurysm, Abdominal ,Sudden onset - Abstract
Testicular ischaemia after endovascular aortic aneurysm repair (EVAR) is a very uncommon complication. There are only a few cases reported in the literature and the pathogenesis remains unclear. We report a case of unilateral testicular ischaemia in the early postoperative period after EVAR.A 78-year-old man underwent standard EVAR without immediate complications. Twenty-four hours after the procedure, the patient developed sudden onset of right scrotal pain and a low-grade fever. Urgent testicular ultrasound showed ischaemic signs compromising 75% of the testicle. The patient was successfully managed with conservative treatment.Although the pathogenesis is unknown, acute thrombosis of the testicle feeding arteries is postulated as the main hypothesis in the physiopathogenesis.
- Published
- 2021
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