218 results on '"Testicular infarction"'
Search Results
2. Conservative management of segmental testicular infarction in a patient with sickle cell anemia: A case report
- Author
-
Sarah Y. Wu, Evan Mackenize Gibbs, Charles Klose, Neda Qosja, Andrew Zganjar, and Bryce A. Baird
- Subjects
Testicular infarction ,Sickle cell crisis ,Exchange transfusion ,Segmental infarction ,Testicle ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Vaso-occlusive crisis is a sequela of sickle cell disease that can lead to severe pain and infarction at the location of occlusion. In men, genitourinary complications include priapism, hematuria, and very rarely, testicular infarction. Few cases have been previously reported in the literature, but in all of those cases, partial or complete orchiectomy was performed. We report the first known case of segmental testicular infarct secondary to sickle cell disease treated with medical management without need for surgical intervention.
- Published
- 2024
- Full Text
- View/download PDF
3. Venous Thrombosis. Segmental Infarction and Polypoid Granulomatous Endophlebitis
- Author
-
Nistal, Manuel, González-Peramato, Pilar, Nistal, Manuel, and González-Peramato, Pilar
- Published
- 2024
- Full Text
- View/download PDF
4. Unilateral Testicular Infarction a Very Rare Complication of Genital Tuberculosis: A Case Report and Literature Review
- Author
-
Issack FH, Bogale NT, Hassen SM, Ibrahim AI, Abdi AM, Bore TM, and Answar IO
- Subjects
tuberculosis ,acute scrotum ,epididymo-orchitis ,genitourinary tuberculosis ,testicular infarction ,orchiectomy ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Feysel Hassen Issack,1 Nahom Tadesse Bogale,1 Samater Mohammed Hassen,1 Abdulhafiz Idris Ibrahim,2 Abdurahman Mohamed Abdi,1 Tariku Mulatu Bore,3 Isak Omer Answar4 1Urology Unit, Department of Surgery, Jigjiga University Sheik Hassen Yabare Comprehensive Specialized Hospital, Jigjiga, Ethiopia; 2Department of Radiology, Jigjiga University Sheik Hassen Yabare Comprehensive Specialized Hospital, Jigjiga, Ethiopia; 3Department of Pathology, Jigjiga University Sheik Hassen Yabare Comprehensive Specialized Hospital, Jigjiga, Ethiopia; 4Department of Pathology, University of Gondar, College of Medicine and Health Sciences, Gondar, EthiopiaCorrespondence: Feysel Hassen Issack; Nahom Tadesse Bogale, Urology Unit, Department of Surgery, Jigjiga University Sheik Hassen Yabare Comprehensive Specialized Hospital, PO Box:1020, Jigjiga, Ethiopia, Tel +251932511145, Email feyselh@gmail.com; Tadnahi2@gmail.comBackground: Genitourinary tuberculosis is the second most common form of extrapulmonary tuberculosis in developing countries. Isolated genital TB is rare, but testicular infarction is an unusual complication of delayed management, in which surgical intervention is warranted.Case Presentation: A 29-year-old male non-smoker presents with painful left scrotal pain of 21 days. Initially managed with intravenous antibiotics, the disease progressed and resulted in testicular infarction. Left orchiectomy was performed, and the specimen was sent for histopathological examination, which revealed features consistent with a testicular tuberculous abscess.Conclusion: Tuberculous epididymo-orchitis (TBEO) with testicular infarction was unusual. It is prudent to consider this in patients presenting with long-standing urinary symptoms, particularly in those unresponsive to the initial antibiotic therapy. It requires a high index of suspicion, especially in TB endemic areas.Keywords: tuberculosis, acute scrotum, epididymo-orchitis, genitourinary tuberculosis, testicular infarction, orchiectomy
- Published
- 2023
5. Severe epididymal orchitis and total testicular infarction induced by Pseudomonas aeruginosa infection, and assessment of testicular endocrine function: A case report
- Author
-
Yan Li, Qiang Chen, Meng Zhao, Hongji Zhong, and Zhengyuan Tan
- Subjects
Epididymorrhagia ,Pseudomonas aeruginosa ,Testicular infarction ,Serum inhibin B ,Reproductive hormone ,Testicular volume ,Science (General) ,Q1-390 ,Social sciences (General) ,H1-99 - Abstract
Epididymal orchitis is a common urological condition for which medical management is the primary treatment strategy. Although Pseudomonas aeruginosa is a common cause of nosocomial urinary tract infections, it rarely causes acute epididymal orchitis in adolescence and is difficult to treat. Furthermore, it may progress to potentially fatal complications such as global testicular infarction and late atrophy. Urinary tract infection(s) can harm the gonads and is a well-known cause of male infertility. This case study involved a 13-year-old boy with acute epididymal orchitis caused by P. aeruginosa infection, which led to testicular infarction. Testicular volume, and anti-sperm antibody, reproductive hormone, and serum inhibin B levels were monitored for six months, which revealed that left testicular volume was 1/20 of that of the right. Anti-sperm antibodies were negative, oestradiol level was elevated, but serum inhibin B level declined. This case report emphasises the importance of early treatment by implementing the use of antibiotic(s) to maximise the opportunity for testicular rescue. Testicular function on the healthy side must be monitored when testicular necrosis is detected.
- Published
- 2023
- Full Text
- View/download PDF
6. Hemorrhagic testicular infarction secondary to testicular torsion: A case report
- Author
-
Yu-rou Zhang, Jin-yu Ma, and Li Guo
- Subjects
Testicular infarction ,Testicular torsion ,Surgery ,RD1-811 - Published
- 2023
- Full Text
- View/download PDF
7. Review of vasocutaneous fistulas and other rare complications after vasectomy.
- Author
-
Lamoury, Robby P. A., Pauwels, Jasper, De Wachter, Stefan, and Brits, Tim
- Subjects
FISTULA ,VASECTOMY ,OPERATIVE surgery ,HEMATOMA ,BLADDER obstruction ,CHRONIC pain - Abstract
Introduction Vasectomy is a surgical procedure for male sterilization. It is a very common procedure in daily urological practice with a low complication rate. Haematoma formation, wound infection, chronic scrotal pain, and spontaneous recanalization are well-known complications. Fistula formation and testicular infarction are less common following a vasectomy. In this article we provide a review of literature regarding rare complications after vasectomy. Material and methods A manual electronic search of the PubMed Medline and Web of Science Core Collection databases was performed encompassing all included reports until 30 September 2022 to identify studies that assessed patient complications after a vasectomy. Results Urethrovasocutaneous fistulas are by far the most prevalent, while vasocutaneous, vasovenous, and arteriovenous fistulas are seldom reported. In discharging fistulas, a fluid analysis can be done to discriminate different types. In all cases scrotal exploration and ligation of the fistula was performed. If present, an underlying bladder outlet obstruction should be treated. Scrotal infarction is another infrequently reported complication of vasectomy. Diagnosis is made by scrotal ultrasound and colour Doppler. Treatment is usually conservative, but orchiectomy should be considered in larger infarctions. Simple wound infections are common in patients post vasectomy. More complex infections are rare but can result in serious and even fatal complications. Conclusions Common complications after vasectomy are well known and usually well discussed with patients. However, rare complications can occur, and it is important that they are recognized by clinicians. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
8. EPIDIDYMO-ORCHITIS LEADING TO GLOBAL TESTICULAR INFARCTION IN A PEDIATRIC PATIENT - A CASE REPORT.
- Author
-
Heaney, Cassandra, Friedman, Derek, Akgul, Mahmut, and Rehfuss, Alexandra
- Subjects
- *
CHILD patients , *ISCHEMIA , *EDEMA - Abstract
Epididymo-orchitis (EO) is a common urologic condition that rarely requires surgical intervention. Global testicular infarction is an exceedingly uncommon complication of EO and is thought to occur when severe epididymal edema compresses testicular vessels. We present a rare case of global testicular infarction secondary to epididymo-orchitis in a 17-year-old boy. Predicting which cases of EO will progress to testicular ischemia is challenging, as no clear risk factors have been identified. Early recognition of testicular compromise requires a high degree of clinical suspicion and may provide the opportunity for testis-sparing intervention. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
9. Acute testicular infarction in the setting of SARS-CoV-2 infection and diabetic vasculopathy
- Author
-
Tenny R. Zhang, Samantha L. Thorogood, Jeremy Miyauchi, Joseph Del Pizzo, and Peter N. Schlegel
- Subjects
Testicular infarction ,Diabetes ,SARS-CoV-2 ,COVID-19 ,Vasculopathy ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Acute testicular pain with no arterial flow on Doppler ultrasonography is highly consistent with testicular torsion. In adults, there are rare etiologies of testicular infarction other than torsion, including infection, vasculitis, and trauma. We describe a 41-year-old man with type 2 diabetes complicated by severe vasculopathy and positive SARS-CoV-2 status presenting with acute right testicular pain. Surgical exploration and pathology were concerning for arteriosclerosis and vasculitis. These observations suggest that medically complex patients presenting with acute testicular pain in the setting of COVID-19 infection could be at risk for ischemia; causes of testicular pain beyond torsion should be considered.
- Published
- 2023
- Full Text
- View/download PDF
10. Idiophatic Asynchronous Bilateral Segmental Testicular Infarction and Anticoagulant Therapy: A Case Report
- Author
-
Petar Gaćina, Goran Rinčić, Hana Matijaca, Boris Ružić, Ozren Vinter, and Klara Gaćina
- Subjects
Botulinum Toxin Type A ,Acute Testicular Pain ,Testicular Pathologies ,Testicular Infarction ,Anticoagulant Therapy ,Medicine - Abstract
We present an unusual case of sudden onset of pain in the left testis in a patient with a previous medical history of right orchiectomy due to hemorrhagic infarction. A partial orchiectomy was performed with complete removal of the lesion and reconstruction of the testicular parenchyma. Histopathological assessment confirmed segmental testicular infarction without the presence of malignancy. The patient subsequently received anticoagulant therapy.
- Published
- 2022
- Full Text
- View/download PDF
11. SARS-CoV-2-Associated Obliterative Arteritis Causing Massive Testicular Infarction
- Author
-
Dámaso Parrón, Ane Gartzia, Ane M. Iturregui, Igone Imaz, Claudia Manini, Jorge García-Olaverri, and José I. López
- Subjects
SARS-CoV-2 ,COVID-19 ,arteritis ,pathology ,testicular infarction ,Medicine (General) ,R5-920 - Abstract
A 26-year-old man with symptomatic SARS-CoV-2 infection developed a sudden-onset acute testicular pain. The echo-doppler images showed massive testicular infarction, so orchiectomy was performed. On gross examination, the surgical specimen showed complete testicular necrosis and diffuse thickening of the testicular coverings. Under the microscope, a severe obliterative arteritis was evidenced. SARS-CoV-2 spike antibody was detected by immunohistochemistry in the arterial endothelium. Electron microscopy displayed intracytoplasmic spiky viral particles in endothelial cells. The patient was treated with corticoids and was asymptomatic at last contact.
- Published
- 2021
- Full Text
- View/download PDF
12. The acute scrotum in infancy: A retrospective regional study.
- Author
-
Coles, Vanessa, Elagami, Hesham, Bhandarker, Kailas, Awolaran, Gbenga, Murphy, Feilim, Yardley, Iain, Hallows, Ruth, and Davenport, Mark
- Abstract
Testicular torsion during infancy (<1 year) is known to be a rare event with relatively few studies on the subject in the published scientific literature. We reviewed the experience of infant scrotal exploration within a paediatric surgical network of four centres serving an approximate paediatric population of 1.8 million. To review current practice of scrotal explorations in infancy and explore areas for improvement. Retrospective review of emergency operations for acute scrotum between January 2016 and December 2018. Data are presented as median (range) and compared using non-parametric tests. P < 0.05 was regarded as significant. A total of 560 paediatric scrotal explorations were performed. Of these, 25 (4%) were under one year at the time of surgery, median 4 months (1 day-5 months) (Fig. 1). The most common diagnosis was "epididymitis" (11/25, 44%). Testicular torsion was found in 28% (7/25), increasing to 66% (4/6) in those under one month. Of those with confirmed testicular torsion, three (43%) underwent a primary orchiectomy with contralateral fixation and three (43%) detorsion and bilateral fixation, with all three cases found to have testicular atrophy at follow-up. The final case was of metachronous torsion, with the initial presentation not operated on and the subsequent presentation undergoing detorsion and fixation. This was the only case of testicular salvage in our series. There were no underlying urological issues in any patient and no reported complications or ongoing urological issues post-surgery. The rate of follow-up was 17/25 (68%). We present one of the only clinical series to focus on acute scrotum in the under one year old and not just the neonatal period. Testicular torsion remains a rare event in this age group but invariably leads to testicular loss. [Display omitted] [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
13. Conservative management of segmental testicular infarction in a patient with sickle cell anemia: A case report.
- Author
-
Wu SY, Gibbs EM, Klose C, Qosja N, Zganjar A, and Baird BA
- Abstract
Vaso-occlusive crisis is a sequela of sickle cell disease that can lead to severe pain and infarction at the location of occlusion. In men, genitourinary complications include priapism, hematuria, and very rarely, testicular infarction. Few cases have been previously reported in the literature, but in all of those cases, partial or complete orchiectomy was performed. We report the first known case of segmental testicular infarct secondary to sickle cell disease treated with medical management without need for surgical intervention., (© 2024 The Authors.)
- Published
- 2024
- Full Text
- View/download PDF
14. Acute global testicular infarction: A rare and important complication after endovascular abdominal aortic aneurysm repair.
- Author
-
Kostenko Y, LaGrone L, and Cribari C
- Abstract
Testicular ischemia is one of the most rarely reported complications of endovascular abdominal aortic aneurysm repair (EVAR). Although the pathogenesis remains unclear, thromboembolic events in the setting of testicular artery origin occlusion by the stent graft and poor baseline collateral testicular circulation are presumed causes. A 73-year-old man developed acute right testicular infarction 3 days after EVAR, requiring orchiectomy. This case emphasizes the importance of recognizing and evaluating testicular pain after EVAR and counseling patients on this possible EVAR complication., Competing Interests: None., (© 2024 The Authors.)
- Published
- 2024
- Full Text
- View/download PDF
15. Testicular ischemia in deficiency of adenosine deaminase 2 (DADA2)
- Author
-
Katherine Clarke, Cathy Campbell, Ebun Omoyinmi, Ying Hong, Muthana Al Obaidi, Neil Sebire, and Paul A. Brogan
- Subjects
Deficiency of adenosine deaminase 2 ,DADA2 ,Testicular infarction ,Vasculitis ,Anti-tumour necrosis factor alpha ,Aspirin ,Pediatrics ,RJ1-570 ,Diseases of the musculoskeletal system ,RC925-935 - Abstract
Abstract Background Deficiency of adenosine deaminase 2 (DADA2) is a rare autosomal recessive autoinflammatory condition. Recognised features include vasculitis predominantly affecting medium sized vessels, livedoid skin rash, central and peripheral nervous system involvement, variable degrees of immunodeficiency, and marrow failure, amongst other clinical presentations. We present the case of a six year old male with DADA2 who presented with acute testicular ischaemia secondary to vasculitis, the first such description in DADA2. Case presentation A six year old male presented acute right-sided testicular pain. His history included transient infantile neutropenia, resolved hepatosplenomegaly, and longstanding livedo racemosa, leading to screening and confirmation of DADA2 caused by homozygous c.139G > C (p.G47R) mutation of ADA2. As his only clinical feature was that of mild livedo racemosa with normal laboratory parameters at diagnosis, he was being actively monitored prior to starting any treatment. At a routine clinic follow-up a 24 h history of testicular pain was noted on systems review. He was afebrile, and his only physical signs were that of moderate livedo racemosa, and tenderness of the right testicle. Laboratory parameters revealed C-reactive protein (CRP) 8 mg/L (reference range [RR]
- Published
- 2019
- Full Text
- View/download PDF
16. Segmental testicular infarction: Case series and brief literature review of a great mime
- Author
-
Franco Palmisano, Mariapia Serrago, Andrea Gallioli, Vito Lorusso, Franco Gadda, Matteo Giulio Spinelli, and Emanuele Montanari
- Subjects
Acute scrotum ,testicular hemorrhage ,testicular infarction ,testicular pathologies ,testis-sparing surgery ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Segmental testicular infarction is rare, and the etiology is mostly idiopathic. We report a case series of four young patients, one of them with metachronous bilateral disease, presenting with an acute scrotum and treated with a testis-sparing approach, if feasible, after a negative intraoperative biopsy. Etiology, differential diagnosis, and management are reviewed. To be aware of clinical and imaging features of this benign testicular pathology, it is crucial to avoid unnecessary orchiectomies to preserve vital testicular tissue left.
- Published
- 2019
- Full Text
- View/download PDF
17. SARS-CoV-2-Associated Obliterative Arteritis Causing Massive Testicular Infarction.
- Author
-
Parrón, Dámaso, Gartzia, Ane, Iturregui, Ane M., Imaz, Igone, Manini, Claudia, García-Olaverri, Jorge, and López, José I.
- Subjects
- *
INFARCTION , *ARTERITIS , *SARS-CoV-2 , *ENDOTHELIAL cells , *ELECTRON microscopy - Abstract
A 26-year-old man with symptomatic SARS-CoV-2 infection developed a sudden-onset acute testicular pain. The echo-doppler images showed massive testicular infarction, so orchiectomy was performed. On gross examination, the surgical specimen showed complete testicular necrosis and diffuse thickening of the testicular coverings. Under the microscope, a severe obliterative arteritis was evidenced. SARS-CoV-2 spike antibody was detected by immunohistochemistry in the arterial endothelium. Electron microscopy displayed intracytoplasmic spiky viral particles in endothelial cells. The patient was treated with corticoids and was asymptomatic at last contact. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
18. Testicular infarction as a rare complication of pyogenic epididymoorchitis due to Pseudomonas aeruginosa: A case report and systematic literature review
- Author
-
Kazuhiro Ishikawa, Takahiro Matsuo, Tomoaki Nakamura, Fujimi Kawai, Yuki Uehara, and Nobuyoshi Mori
- Subjects
Testicular infarction ,Pyogenic epididymoorchitis ,Pseudomonas aeruginosa ,Infectious and parasitic diseases ,RC109-216 - Abstract
Background: Testicular infarction is a known serious complication associated with epididymitis. It is known to be idiopathic in 70% of cases but the frequency, risk factors, and management are yet to be elucidated. This paper aims to report a case of testicular infarction secondary to pyogenic epididymoorchitis caused by Pseudomonas aeruginosa. Case presentation: A 64-year-old male with a past medical history of benign prostate hypertrophy using intermittent self-catheterization and a recent history of culture-negative pyogenic epididymoorchitis treated with oral cefpodoxime was admitted to our hospital due to a 4-week history of fever, right scrotal pain, and swelling. Scrotal ultrasonography showed a hypoechoic testis without testicular torsion. He was diagnosed with testicular infarction and a scrotal abscess due to Pseudomonas aeruginosa, and was treated with cefepime along with transcutaneous drainage. Despite the antimicrobial treatment, he experienced testicular loss with necrotic tissue. Because little is known about the risk factors, clinical characteristics, management, and prognosis of testicular infarction secondary to epididymitis, we performed a systematic review of the literature. Conclusion: This is a case of testicular necrosis during the treatment of epididymitis with negative urine culture and detection of Pseudomonas aeruginosa in tissue culture. Clinicians should perform frequent blood flow evaluation to the testis for early urologic intervention.
- Published
- 2021
- Full Text
- View/download PDF
19. Epididymo-testicular ischemia without torsion
- Author
-
Ahmed Ibrahimi, Idriss Ziani, Omar Bellouki, Hachem El Sayegh, Lounis Benslimane, and Yassine Nouini
- Subjects
Testicular infarction ,Ischemia ,Color Doppler ultrasound ,Orchidectomy ,Orchiepididymitis ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Epididymo-testicular infarction associated with ischemia of spermatic cord without torsion secondary to an orchiepididymitis is an extremely rare pathological entity, of little known etiopathogenesis and idiopathic in the majority of cases. The authors report an original observation of a 23-year-old young patient with a history of untreated orchiepididymitis, which presented to the emergency department for testicular pain. The ultrasound has showed an ischemic testicle and the exploratory scrototomy objectified an epididymo-testicular necrosis associated with ischemia of spermatic cord without torsion. This case highlighted the interest of early diagnosis and effective treatment of orchiepididymitis to prevent this rare serious complication.
- Published
- 2020
- Full Text
- View/download PDF
20. Segmental testicular infarction, a rare complication of epididymo-orchitis
- Author
-
Cameron James Parkin, Jonathan Kam, Yuigi Yuminaga, and Matthew Winter
- Subjects
Epididymo-orchitis ,Testicular infarction ,Complication ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Segmental infarction of the testicle secondary to epididymo-orchitis is a rare condition which can be difficult to diagnose and can lead to loss of the testis. We report a case of a 72-year-old man who presented with two weeks of worsening pain of his left testis despite oral antibiotic treatment for epididymo-orchitis. A testicular ultrasound initially revealed a suspected intra-testicular abscess. Despite intravenous antibiotics, his symptoms worsened. A repeat ultrasound demonstrated an increase in size of the lesion and a decision was made to take him to theatre. Intra-operative findings instead revealed a segmental area of testicular infarction requiring debridement.
- Published
- 2020
- Full Text
- View/download PDF
21. Testicular infarction in an adult patient with systemic IgA vasculitis
- Author
-
Yaseen, Kinanah
- Published
- 2023
- Full Text
- View/download PDF
22. Severe epididymal orchitis and total testicular infarction induced by Pseudomonas aeruginosa infection, and assessment of testicular endocrine function: A case report.
- Author
-
Li Y, Chen Q, Zhao M, Zhong H, and Tan Z
- Abstract
Epididymal orchitis is a common urological condition for which medical management is the primary treatment strategy. Although Pseudomonas aeruginosa is a common cause of nosocomial urinary tract infections, it rarely causes acute epididymal orchitis in adolescence and is difficult to treat. Furthermore, it may progress to potentially fatal complications such as global testicular infarction and late atrophy. Urinary tract infection(s) can harm the gonads and is a well-known cause of male infertility. This case study involved a 13-year-old boy with acute epididymal orchitis caused by P. aeruginosa infection, which led to testicular infarction. Testicular volume, and anti-sperm antibody, reproductive hormone, and serum inhibin B levels were monitored for six months, which revealed that left testicular volume was 1/20 of that of the right. Anti-sperm antibodies were negative, oestradiol level was elevated, but serum inhibin B level declined. This case report emphasises the importance of early treatment by implementing the use of antibiotic(s) to maximise the opportunity for testicular rescue. Testicular function on the healthy side must be monitored when testicular necrosis is detected., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2023 The Authors.)
- Published
- 2023
- Full Text
- View/download PDF
23. Hemorrhagic testicular infarction secondary to testicular torsion: A case report.
- Author
-
Zhang YR, Ma JY, and Guo L
- Subjects
- Male, Humans, Testis, Infarction, Hemorrhage, Spermatic Cord Torsion complications, Testicular Diseases complications
- Published
- 2023
- Full Text
- View/download PDF
24. Segmental testicular infarction: Case series and brief literature review of a great mime.
- Author
-
Palmisano, Franco, Serrago, Mariapia, Gallioli, Andrea, Lorusso, Vito, Gadda, Franco, Spinelli, Matteo Giulio, and Montanari, Emanuele
- Subjects
- *
INFARCTION , *LITERATURE reviews , *ETIOLOGY of diseases , *MIME , *SCROTUM - Abstract
Segmental testicular infarction is rare, and the etiology is mostly idiopathic. We report a case series of four young patients, one of them with metachronous bilateral disease, presenting with an acute scrotum and treated with a testis‑sparing approach, if feasible, after a negative intraoperative biopsy. Etiology, differential diagnosis, and management are reviewed. To be aware of clinical and imaging features of this benign testicular pathology, it is crucial to avoid unnecessary orchiectomies to preserve vital testicular tissue left. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
25. The role of contrast enhanced ultrasound in the differential diagnosis of segmental testicular infarction
- Author
-
Carlos Nicolau Molina, María José Ribal Caparrós, Julian Moreno Rojas, Mònica Roser Peradejordi Font, Daniel Vas, and Isabel Trias Puigsureda
- Subjects
Testicular ultrasound ,medicine.medical_specialty ,business.industry ,Acute scrotum ,Burned-out testicular tumor ,Ultrasound ,R895-920 ,Case Report ,Pathology Report ,Epididymis ,Lesion ,Medical physics. Medical radiology. Nuclear medicine ,medicine.anatomical_structure ,medicine ,Conservative management ,Radiology, Nuclear Medicine and imaging ,Testicular infarction ,Radiology ,Orchiectomy ,Contrast Enhanced Ultrasound ,Differential diagnosis ,medicine.symptom ,business ,Testicular abscess ,Contrast-enhanced ultrasound - Abstract
A 43-year-old male presented to the emergency department with acute left testicular pain. Physical exam showed a tender left testicle and epididymis with mild swelling. Doppler and contrast enhanced ultrasound revealed a heterogeneous, avascular lesion with hyper vascularized surrounding. Follow-up contrast enhanced ultrasound performed a few days later showed persistence of the sparsely vascularized lesion with more hypoechoic echo structure. Despite the tumor markers being negative, a necrotic tumor could not be ruled out and a left orchiectomy was performed. Pathology report described an extensive segmental testicular infarction with no evidence of malignant tissue. We present the ultrasound and pathology findings, differential diagnostic pearls and clinical perspective of segmental testicular infarction.
- Published
- 2021
26. Imaging Acute Scrotal Pain in Adults: Torsion of the Testis and Appendages
- Author
-
Turgut, Ahmet T., Dogra, Vikram S., Bertolotto, Michele, editor, and Trombetta, Carlo, editor
- Published
- 2012
- Full Text
- View/download PDF
27. Vasculitis
- Author
-
Hughes, Graham R. V., Sangle, Shirish, Hughes, Graham R. V., editor, and Sangle, Shirish, editor
- Published
- 2012
- Full Text
- View/download PDF
28. Case report of bilateral testicular infarction due to severe bilateral epididymo-orchitis: A catastrophic complication causing castration.
- Author
-
Ong Lay Keat, William, Lechmiannandan, Sivaneswaran, Manoharan, Devindran, Lee, Say Bob, and Nagalingam, Premnath
- Abstract
• A rare case of bilateral epididymo-orchitis complicated with bilateral testicular infarction. • Presentation was fever with persistent, unresolved pain and scrotal swelling. • Antibiotic therapy failed to halt disease progression of bilateral testicular ischemia. • Bilateral orchidectomy performed as both testes were not viable, resulting in castration and lifelong testosterone replacement. Testicular infarction as a result of severe epididymo-orchitis is an uncommon urological emergency, with only a handful of reported cases in literature. We report an even rarer case of bilateral epididymo-orchitis complicated with testicular infarction, resulting in bilateral orchidectomy. 49 year old gentleman presented with fever, persistent, unresolving pain and scrotal swelling of two weeks duration. Despite close clinical monitoring, timely ultrasounds of the testis and antibiotics there was an inexorable progression to bilateral testicular ischemia. This is only the second reported case of this nature in published literature. Epididymo-orchitis usually responds well to appropriate antibiotic therapy, although progression to testicular infarction is possible. Clinical presentation of persistent scrotal pain and oedema in cases of epididymo-orchitis should raise strong suspicion of testicular ischemia or infarction. Despite all efforts, progression to bilateral testicular infarction resulting in castration is a possible catastrophic outcome. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
29. Testicular Infarction in a Sickle Cell Hemoglobinopathy Patient: A Case Report.
- Author
-
Alghamdi T, Albassri AA, Al-Saleh EF, Alabandi A, and Alhussaini A
- Abstract
Vaso-occlusive phenomena in sickle cell disease lead to ischemia and possible infarction of the affected organ. We report a case of a 20-year-old Saudi male known to have homozygous sickle cell hemoglobinopathy who was admitted to our institution with abdominal pain. One day post admission, the patient developed left testicular pain. Ultrasound showed decreased echogenicity, and Doppler examination showed absent blood flow in the left testicle. Left radical orchidectomy was done, and histopathological assessment revealed ischemic necrosis with sickled red blood cells (RBCs). A few studies have been reported worldwide suggesting that a vaso-occlusive event is the mainstay mechanism in such cases. This is the first case reported in the Eastern Province of Saudi Arabia., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Alghamdi et al.)
- Published
- 2023
- Full Text
- View/download PDF
30. Simple and Subcapsular Orchidectomies (Orchiectomies)
- Author
-
Hashim, Hashim, Abrams, Paul, Hashim, Hashim, editor, Abrams, Paul, editor, and Dmochowski, Roger, editor
- Published
- 2008
- Full Text
- View/download PDF
31. Global Testicular Infarction during Treatment for Epididymitis
- Author
-
FUJIWARA, Shintaro, NAKAHARA, Yasuo, OHKURA, Takahiro, UKIDA, Asami, HANAKI, Shojiro, ISHIBASHI, Shuichi, TAKAHASHI, Yusuke, and SHINNO, Yoko
- Subjects
Epididymitis ,494.9 ,Testicular infarction - Abstract
We report a case of global testicular infarction associated with epididymitis. A 26-year-old man with a history of clean intermittent self-catheterization since he was 1 year old presented to our hospital with left scrotal pain and swelling. He was diagnosed with epididymitis and was prescribed levofloxacin. On the next day, he returned with worsened symptoms of left scrotal pain, swelling, and fever. He was admitted because of his severe symptoms and high C-reactive protein level in the blood test. Antimicrobial therapy with intravenous flomoxef and analgesic treatment with pentazocine and loxoprofen were started but the symptoms did not improve. The color-Doppler ultrasound repeated on the 1st, 4th, and 5th day of admission showed left epididymal hypervascularity but it did not indicate testicular hypovascularity in any examinations. On the 6th day of admission, a contrast-magnetic resonance imaging (MRI) scan revealed no contrast enhancement in the left testis and high orchiectomy was performed. On pathological examination, abscess of the entire epididymis and generalized necrosis of the testes were observed. Inflammatory cell infiltration and thrombus formation were observed in almost all veins of the testis and spermatic cord, and the diagnosis of global testicular infarction associated with epididymitis was made. Global testicular infarction has been reported as a rare complication of epididymitis and should be considered in the case of atypical course of epididymitis.
- Published
- 2021
32. Perspectives in Pediatric Pathology, Chapter 19. Testicular Torsion, Testicular Appendix Torsion, and Other Forms of Testicular Infarction.
- Author
-
Nistal, Manuel, Paniagua, Ricardo, González-Peramato, Pilar, and Reyes-Múgica, Miguel
- Subjects
SURGICAL pathology ,CASTRATION ,SPERMATIC cord torsion ,PEDIATRIC urology ,UROLOGICAL emergencies - Abstract
Among the most frequent specimens at the pediatric surgical pathology bench, orchiectomy performed after testicular torsion deserves significant attention. Multiple implications, including fertility, legal complications, possibility of occult lesion, and others, need to be considered. Furthermore, torsion of testicular and other appendices represents common urological emergencies frequently encountered in surgical pathology. Here we present a review of testicular torsion and infarction, including theories about their pathogenesis and the appropriate handling by the diagnostic pathologist. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
33. Hemorrhagic testicular infarction as a complication of COVID-19 (SARS-CoV-2)
- Author
-
S.V. Pridchin, Russia Stavropol, and T.I. Derevyanko
- Subjects
medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,business.industry ,Internal medicine ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Cardiology ,medicine ,Testicular infarction ,Complication ,business - Abstract
Introduction. Statistically, adult patients with testicular infarction make up 7-10% of the population of all acute urological pathology. This is one of the urological nosologies, which is а part of a group of diseases called acute scrotum . Ischemic heart attack occurs as a result of an acute violation of the blood supply to the testicle from the testicular artery. Hemorrhagic infarction usually occurs as a result of impaired microcirculation or embolization of the arteries and arterioles of the testicle and is most often segmental in nature. Conditions associated with increased blood clotting also create conditions for vein obstruction with subsequent tissue necrosis in any organ, including in the testicles. It is known that COVID-19 (SARS-COV-2) causes a pathological increase in blood clotting in the patient's body and it's most dangerous complication is thrombosis in various blood vessels of the patient's organs, which often causes acute ischemia of these organs and even death in patients with COVID 19. Materials and methods. The authors consider 3 similar clinical observations of hemorrhagic testicular infarction in patients suffering from COVID-19 (SARS-COV-2) and who were in the specialized COVID department of the city hospital of Pyatigorsk (Russia, Stavropol Territory). All 3 patients were aged from 67 to 88 years and had a concomitant pathology from the cardiovascular system in the form of arterial hypertension, as well as type 2 diabetes mellitus. The authors provide one case in detail, since all 3 cases followed the same clinical scenario. Clinical observation: Patient B. 66 years old, who was in a specialized COVID department with a diagnosis of: Coronovirus infection caused by COVID 19 (confirmed), moderate form of UO7. 1, community-acquired bilateral lobar pneumonia, acute respiratory distress syndrome, respiratory failure. Concomitant diseases: atherosclerotic cardiosclerosis, arterial hypertension, type 2 diabetes mellitus. The patient received therapy for the underlying disease, but on the 9th day of his stay in the hospital, he had an acute hemorrhagic infarction of the left testicle. The diagnosis was confirmed by laboratory and instrumental examination. An emergency left-sided orchectomy was performed, and the diagnosis was confirmed histologically. Similar clinical situations were observed in two other patients with the same outcome. Conclusions. Hemorrhagic testicular infarction in patients with COVID-19 in our clinical observation can be considered as a complication of COVID-19, or as its clinical manifestation in the organs of the male reproductive system.
- Published
- 2021
34. Testicular Torsion in the Emergency Room: A Review of Detection and Management Strategies
- Author
-
Shavania Ragavan, Abdullah E. Laher, Ahmed Adam, and Puja Mehta
- Subjects
Infertility ,endocrine system ,medicine.medical_specialty ,urogenital system ,business.industry ,Testis torsion ,030208 emergency & critical care medicine ,030204 cardiovascular system & hematology ,Emergency Nursing ,urologic and male genital diseases ,medicine.disease ,Review article ,body regions ,03 medical and health sciences ,0302 clinical medicine ,Swollen testis ,Daily practice ,otorhinolaryngologic diseases ,Emergency Medicine ,medicine ,Testicular torsion ,Testicular infarction ,Ultrasonography ,Intensive care medicine ,business - Abstract
Testicular torsion is a challenging and time-sensitive diagnosis that is encountered frequently in daily practice, especially in the emergency room. A thorough history, the presence of a painful and swollen testis and testicular ultrasonography plays a vital role in the prompt diagnosis of testicular torsion. Prompt diagnosis is essential to prevent complications of testicular torsion which include testicular infarction, necrosis, and sub/infertility. This can be challenging as there are various other conditions that may mimic the presentation of testicular torsion. Since testicular torsion is an extremely time-sensitive diagnosis, it may also be a subject of many medicolegal challenges. This review article serves as a guide for clinicians involved with the diagnosis and management of testicular torsion. We review and discuss detection and management strategies based on their validity, statistical significance, and effectiveness in enabling prompt diagnosis and management of testicular torsion. Medicolegal implications of testicular torsion are also highlighted.
- Published
- 2020
35. Complete testicular infarction secondary to epididymoorchitis and pyocele
- Author
-
Christopher Shin, Amit Ramjit, and Morris Hayim
- Subjects
lcsh:Medical physics. Medical radiology. Nuclear medicine ,endocrine system ,medicine.medical_specialty ,Global infarction ,endocrine system diseases ,lcsh:R895-920 ,Infarction ,Orchitis ,Testicle ,urologic and male genital diseases ,030218 nuclear medicine & medical imaging ,Pyocele ,03 medical and health sciences ,0302 clinical medicine ,Scrotum ,medicine ,Radiology, Nuclear Medicine and imaging ,Testicular infarction ,Epididymitis ,urogenital system ,business.industry ,Ultrasound ,medicine.disease ,medicine.anatomical_structure ,Epididymoorchitis ,Genitourinary ,Radiology ,business ,Complication ,030217 neurology & neurosurgery - Abstract
Epididymoorchitis is a relatively common urologic condition involving the scrotum which presents with unilateral pain and swelling. It is typically treated with antibiotics but can progress to complications such as scrotal pyocele. Global testicular infarction is an exceedingly rare but devastating complication of epididymoorchitis. Grey scale and color Doppler ultrasound demonstrate testicular hypovascularity with subsequent hypoechoic changes of the testicular parenchyma. Scrotal MRI shows T2 hyperintense changes through the testicle with nonenhancement of the testicular parenchyma post contrast, consistent with infarction. The cause of global infarction in epididymitis is uncertain but may be due to mixed arterial and venous insufficiency. This case illustrates a 41-year-old male that developed acute left testicular pain. Initial ultrasound showed an enlarged left testicle with hyperemia. The patient's symptoms progressed and a scrotal MRI demonstrated a lack of left testicular enhancement consistent with global infarction, as well as an adjacent pyocele. Keywords: Epididymitis, Global infarction, Orchitis, Epididymoorchitis, Pyocele
- Published
- 2020
36. Idiopatski asinkroni obostrani segmentalni infarkt testisa - prikaz slučaja
- Author
-
Gaćina, Petar, Rinčić, Goran, Matijaca, Hana, Ružić, Boris, Vinter, Ozren, and Gaćina, Klara
- Subjects
Botulinum Toxin Type A ,Acute Testicular Pain ,Testicular Pathologies ,Testicular Infarction ,Anticoagulant Therapy ,Akutna bol testisa ,Patologija testisa ,Infarkt testisa ,Protuzgrušavajuća terapija - Abstract
We present an unusual case of sudden onset of pain in the left testis in a patient with a previous medical history of right orchiectomy due to hemorrhagic infarction. A partial orchiectomy was performed with complete removal of the lesion and reconstruction of the testicular parenchyma. Histopathological assessment confirmed segmental testicular infarction without the presence of malignancy. The patient subsequently received anticoagulant therapy., Prikazujemo neobičan slučaj iznenadne pojave boli u lijevom testisu kod bolesnika u kojeg je prethodno učinjena desnostrana orhidektomija zbog hemoragijskog infarkta. Izvršena je djelomična orhidektomija s potpunim uklanjanjem lezije i rekonstrukcijom parenhima testisa. Histopatološkom obradom potvrđen je segmentalni infarkt testisa bez prisutnosti zloćudne bolesti. U bolesnika je nakon toga primjenjena protuzgrušavajuća terapija.
- Published
- 2022
37. Complicated childhood inguinal hernias in UITH, Ilorin
- Author
-
Kayode T Bamigbola, Abdulrasheed A Nasir, Lukman O Abdur-Rahman, and James O Adeniran
- Subjects
Bowel gangrene ,complicated hernia ,incarcerated hernia ,testicular infarction ,Pediatrics ,RJ1-570 ,Surgery ,RD1-811 - Abstract
Background: Complicated inguinal hernias pose a threat to the life of the child as well as increase the morbidity associated with management of an otherwise straightforward condition. The aim of this study was to determine the presentation, treatment and management outcome of complicated inguinal hernias in children. Materials and Methods: A retrospective study of all children 15 years and less managed for complicated inguinal hernia between 2002 and 2010. Data obtained included demographic characteristics, presentation, operative findings and outcome. Results: Complicated hernia rate was 13.9%.There were 41 children, 38 boys (92.7%) and 3 girls. Ages ranged between 4 days and 15 years (Median = 90days). Most were infants (48.8%, n = 20) and neonates accounted for 19.5% (n = 8). Median duration of symptoms prior to presentation was 18 h (range = 2-96 h). Seven patients had been scheduled for elective surgery. Hernia was right sided in 68.3% (n = 28). Symptoms included vomiting (68.3%), abdominal distension (34.1%) and constipation (4.9%); one patient presented with seizures. In 19 (46.3%) patients hernia was reducible while 22(53.7%) had emergency surgery. Associated anomalies included undescended testis (12.2%), umbilical hernia (14.6%). Intestinal resection rate was 7.3% and testicular gangrene occurred in 14.6%. Mean duration of surgery was 60.3 ± 26.7 min. Wound infection occurred in six patients (14.6%). Overall complication rate was 24.4%, 30% in infants. The mortality rate was 2.4% (n = 1). Conclusions: Morbidity associated with complicated inguinal hernia is high in neonates and infants. Delayed presentation is common in our setting. Educating the parents as well as primary care physicians on the need for early presentation is necessary.
- Published
- 2012
- Full Text
- View/download PDF
38. MRI-guided conservative management of a left segmental testicular infarction
- Author
-
Tsutomu Unoki, Takehiko Nakasato, Jun Morita, Yoshiko Maeda, Takeshi Shichijo, Moyuru Mizunuma, Sat Prasad Nepal, Satoshi Amano, Yoshihiro Nakagami, Tatsuki Inoue, Yoshio Ogawa, Ryosuke Kato, and Kazuhiko Oshinomi
- Subjects
lcsh:Medical physics. Medical radiology. Nuclear medicine ,medicine.medical_specialty ,endocrine system ,endocrine system diseases ,lcsh:R895-920 ,Case Report ,urologic and male genital diseases ,030218 nuclear medicine & medical imaging ,Lesion ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Testicular torsion ,Radiology, Nuclear Medicine and imaging ,Testicular infarction ,medicine.diagnostic_test ,business.industry ,urogenital system ,Ultrasonogram ,Magnetic resonance imaging ,medicine.disease ,Left Testis ,Segmental testicular infarction ,Radiology ,medicine.symptom ,business ,030217 neurology & neurosurgery ,Scrotal Pain ,Mri guided ,Conservative treatment ,MRI - Abstract
Segmental testicular infarction is a rare condition. Patients present with clinical features similar to torsion and testicular tumors, with most undergoing surgery. A 55-year-old male patient presented with left scrotal pain. We did a Doppler ultrasonogram and magnetic resonance imaging to diagnose his condition and rule out testicular torsion and tumor. We decided not to operate and asked the patient for follow-up. There was no pain in the left testis, and magnetic resonance imaging showed a reduction in the left testicular lesion after 4 months.
- Published
- 2021
39. A case of epididymoorchitis without testicular infarction presenting with reversal of diastolic testicular flow on Doppler ultrasonography
- Author
-
Joanna C. Wang, David S. Wang, Jonathan M. Friedman, Shaun Wason, and Liz B. Wang
- Subjects
medicine.medical_specialty ,endocrine system ,endocrine system diseases ,Urology ,Acute scrotum ,Diastole ,Testicular pain ,Orchitis ,urologic and male genital diseases ,Testis ,medicine ,Testicular torsion ,Testicular infarction ,Ultrasonography ,Epididymitis ,business.industry ,urogenital system ,Inflammation and Infection ,medicine.disease ,Diseases of the genitourinary system. Urology ,Epididymoorchitis ,Radiology ,RC870-923 ,medicine.symptom ,business ,Complication - Abstract
An acute scrotum is a common clinical scenario prompting urologic involvement. Scrotal ultrasonography with Doppler is the main imaging modality utilized for the evaluation of an acute scrotum and can help distinguish testicular torsion from epididymoorchitis, two common causes of testicular pain. Testicular infarction is a rare but potential complication of epididymoorchitis. We report a case of epididymoorchitis presenting with reversal of testicular diastolic flow concerning for impending testicular infarction but with a non-ischemic testis on scrotal exploration and repeat scrotal ultrasonography post-operatively., Highlights • Doppler ultrasonography is used to characterize epididymal and testicular flow. • Reversal of testicular diastolic flow does not always lead to testicular infarction. • Epididymoorchitis may present as reversal of testicular diastolic flow. • Scrotal exploration is recommended for reversal of testicular diastolic flow.
- Published
- 2021
40. Acute testicular infarction in the setting of SARS-CoV-2 infection and diabetic vasculopathy.
- Author
-
Zhang TR, Thorogood SL, Miyauchi J, Del Pizzo J, and Schlegel PN
- Abstract
Acute testicular pain with no arterial flow on Doppler ultrasonography is highly consistent with testicular torsion. In adults, there are rare etiologies of testicular infarction other than torsion, including infection, vasculitis, and trauma. We describe a 41-year-old man with type 2 diabetes complicated by severe vasculopathy and positive SARS-CoV-2 status presenting with acute right testicular pain. Surgical exploration and pathology were concerning for arteriosclerosis and vasculitis. These observations suggest that medically complex patients presenting with acute testicular pain in the setting of COVID-19 infection could be at risk for ischemia; causes of testicular pain beyond torsion should be considered., Competing Interests: The authors have no conflicts of interest or disclosures to declare., (© 2023 The Authors.)
- Published
- 2023
- Full Text
- View/download PDF
41. Scrotal Ultrasound: Updates on Testicular Microlithiasis, Incidental Non-Palpable Lesions, Varicoceles and Testicular Infarction
- Author
-
Liu, Michael Y., Gray, Eric, Hahn, Michael E., and Shiehmorteza, Masoud
- Published
- 2020
- Full Text
- View/download PDF
42. Incremental Role of 18FDG PET/CT in Assessment of Testicular Viability.
- Author
-
Krishnaraju, Venkata Subramanian, Malik, Dharmender, Kumar, Rajender, Bora, Giridhar S., Mittal, Bhagwant Rai, and Bhattacharya, Anish
- Abstract
Testicular torsion is a common differential diagnosis of acute scrotal pain along with acute epididymo-orchitis, which may lead to testicular non-viability. Doppler ultrasound and testicular scintigraphy are two routinely used modalities for the assessment of testicular viability. However, in some cases, these investigations may prove inadequate in differentiating between the two entities with widely differing management. Here, we present a case of a 52-year-old male with questionable viability of testis, who was investigated initially using testicular scintigraphy and was further subjected to a regional 18F-FDG PET/CT scan, in view of inconclusive findings with the conventional modalities. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
43. Usefulness of Tc-99m Pertechnetate SPECT/CT in the Diagnosis of Testicular Infarction After Inguinal Herniorrhaphy.
- Author
-
Kim, Myoung, Kim, Chang, Park, Soon-Ah, and Kim, Dae-Weung
- Abstract
A 77-year-old male underwent open repair for a right indirect inguinal hernia and complained of right scrotal pain on the third postoperative day. Color Doppler imaging revealed decreased blood flow with heterogeneous hypoechogenicity in the right testis. A Tc-99m pertechnetate testicular scan showed diffuse hyperemia and increased uptake in the right scrotum. Additional SPECT/CT revealed a photon defect in the right testicle with increased uptake in the peri-testicular area. A subsequent operation revealed a large hematoma in the right spermatic cord and consequent right testicular infarction, and right orchiectomy was performed. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
44. Case report of bilateral testicular infarction due to severe bilateral epididymo-orchitis: A catastrophic complication causing castration
- Author
-
Say Bob Lee, Devindran Manoharan, Premnath Nagalingam, Sivaneswaran Lechmiannandan, and William Ong Lay Keat
- Subjects
endocrine system ,medicine.medical_specialty ,endocrine system diseases ,Ischemia ,Infarction ,urologic and male genital diseases ,Article ,Testicular infarction ,Epididymo-orchitis ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,medicine ,Epididymo orchitis ,Castration ,cardiovascular diseases ,urogenital system ,business.industry ,Bilateral ,Orchidectomy ,medicine.disease ,Surgery ,chemistry ,030220 oncology & carcinogenesis ,030211 gastroenterology & hepatology ,Presentation (obstetrics) ,Complication ,business ,Scrotal Pain - Abstract
Highlights • A rare case of bilateral epididymo-orchitis complicated with bilateral testicular infarction. • Presentation was fever with persistent, unresolved pain and scrotal swelling. • Antibiotic therapy failed to halt disease progression of bilateral testicular ischemia. • Bilateral orchidectomy performed as both testes were not viable, resulting in castration and lifelong testosterone replacement., Introduction Testicular infarction as a result of severe epididymo-orchitis is an uncommon urological emergency, with only a handful of reported cases in literature. We report an even rarer case of bilateral epididymo-orchitis complicated with testicular infarction, resulting in bilateral orchidectomy. Presentation of case 49 year old gentleman presented with fever, persistent, unresolving pain and scrotal swelling of two weeks duration. Despite close clinical monitoring, timely ultrasounds of the testis and antibiotics there was an inexorable progression to bilateral testicular ischemia. Discussion This is only the second reported case of this nature in published literature. Epididymo-orchitis usually responds well to appropriate antibiotic therapy, although progression to testicular infarction is possible. Conclusion Clinical presentation of persistent scrotal pain and oedema in cases of epididymo-orchitis should raise strong suspicion of testicular ischemia or infarction. Despite all efforts, progression to bilateral testicular infarction resulting in castration is a possible catastrophic outcome.
- Published
- 2020
45. Testicular ischemia in deficiency of adenosine deaminase 2 (DADA2)
- Author
-
Paul A. Brogan, Ebun Omoyinmi, Cathy Campbell, Katherine Clarke, Neil J. Sebire, Ying Hong, and Muthana Al Obaidi
- Subjects
Male ,Vasculitis ,medicine.medical_specialty ,lcsh:Diseases of the musculoskeletal system ,Adenosine Deaminase ,DADA2 ,Hepatosplenomegaly ,Infarction ,Testicular pain ,Case Report ,Testicular Diseases ,Gastroenterology ,Asymptomatic ,Testicular infarction ,03 medical and health sciences ,Anti-tumour necrosis factor alpha ,0302 clinical medicine ,Rheumatology ,Ischemia ,030225 pediatrics ,Internal medicine ,Testis ,Scrotum ,medicine ,Humans ,Immunology and Allergy ,Child ,030203 arthritis & rheumatology ,medicine.diagnostic_test ,Aspirin ,business.industry ,Hereditary Autoinflammatory Diseases ,lcsh:RJ1-570 ,lcsh:Pediatrics ,Biomarker ,Livedo racemosa ,medicine.disease ,Deficiency of adenosine deaminase 2 ,medicine.anatomical_structure ,Erythrocyte sedimentation rate ,Pediatrics, Perinatology and Child Health ,Intercellular Signaling Peptides and Proteins ,medicine.symptom ,lcsh:RC925-935 ,business - Abstract
Background Deficiency of adenosine deaminase 2 (DADA2) is a rare autosomal recessive autoinflammatory condition. Recognised features include vasculitis predominantly affecting medium sized vessels, livedoid skin rash, central and peripheral nervous system involvement, variable degrees of immunodeficiency, and marrow failure, amongst other clinical presentations. We present the case of a six year old male with DADA2 who presented with acute testicular ischaemia secondary to vasculitis, the first such description in DADA2. Case presentation A six year old male presented acute right-sided testicular pain. His history included transient infantile neutropenia, resolved hepatosplenomegaly, and longstanding livedo racemosa, leading to screening and confirmation of DADA2 caused by homozygous c.139G > C (p.G47R) mutation of ADA2. As his only clinical feature was that of mild livedo racemosa with normal laboratory parameters at diagnosis, he was being actively monitored prior to starting any treatment. At a routine clinic follow-up a 24 h history of testicular pain was noted on systems review. He was afebrile, and his only physical signs were that of moderate livedo racemosa, and tenderness of the right testicle. Laboratory parameters revealed C-reactive protein (CRP) 8 mg/L (reference range [RR]
- Published
- 2019
46. Segmental testicular infarction following nephrectomy
- Author
-
Sanjay Karamsadkar, Sophie West, and Susan Cross
- Subjects
lcsh:Medical physics. Medical radiology. Nuclear medicine ,medicine.medical_specialty ,medicine.medical_treatment ,lcsh:R895-920 ,Infarction ,Segmental ,Nephrectomy ,Trauma ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Ruptured kidney ,medicine ,Radiology, Nuclear Medicine and imaging ,Testicular infarction ,Testes ,cardiovascular diseases ,business.industry ,Vasectomy ,medicine.disease ,Surgery ,Genitourinary ,Epididymitis ,Vasculitis ,business ,030217 neurology & neurosurgery - Abstract
Segmental testicular infarction is a rare diagnosis and there are few documented cases in the literature. Those cases that have been reported are usually in the setting of epididymitis, hypercoaguable states, vasculitis, sickle cell disease, post orchidopexy or vasectomy, and idiopathic. We report a case of a patient who developed segmental testicular infarction that was managed conservatively, following nephrectomy for a ruptured kidney and the associated ultrasonographic appearances. Keywords: Segmental, Testes, Infarction, Nephrectomy, Trauma
- Published
- 2019
47. IDIOPHATIC ASYNCHRONOUS BILATERAL SEGMENTAL TESTICULAR INFARCTION AND ANTICOAGULANT THERAPY: A CASE REPORT.
- Author
-
Gaćina P, Rinčić G, Matijaca H, Ružić B, Vinter O, and Gaćina K
- Subjects
- Male, Humans, Orchiectomy adverse effects, Infarction surgery, Infarction etiology, Infarction pathology, Anticoagulants therapeutic use, Testicular Diseases complications, Testicular Diseases pathology, Testicular Diseases surgery
- Abstract
We present an unusual case of sudden onset of pain in the left testis in a patient with a previous medical history of right orchiectomy due to hemorrhagic infarction. A partial orchiectomy was performed with complete removal of the lesion and reconstruction of the testicular parenchyma. Histopathological assessment confirmed segmental testicular infarction without the presence of malignancy. The patient subsequently received anticoagulant therapy.
- Published
- 2022
- Full Text
- View/download PDF
48. Bilateral testicular infarction as a complication of acute cardiovascular diseases
- Author
-
Dariusz Kajdaniuk, Bogdan Marek, Franciszek Mazur, Klaudyna Borucka, Monika Ogrodowczyk-Bobik, Tomasz Miś, Szymon Janyga, and Agata Urbanek
- Subjects
medicine.medical_specialty ,business.industry ,Endocrinology, Diabetes and Metabolism ,Cardiogenic shock ,Myocardial Infarction ,Shock, Cardiogenic ,medicine.disease ,Thrombosis ,Coronary artery bypass surgery ,Endocrinology ,Hypergonadotropic hypogonadism ,Blood pressure ,Cardiovascular Diseases ,Internal medicine ,Acute Disease ,Cardiology ,Humans ,Medicine ,Testicular infarction ,Myocardial infarction ,Complication ,business - Abstract
The paper presents the case of a 59-year-old man with hypergonadotrophic hypogonadism in the course of bilateral testicular infarction, which was most likely caused by a drop in system blood pressure in the course of cardiogenic shock complicating myocardial infarction or thrombosis of the iliac arteries, which appeared on the second day after coronary artery bypass surgery.
- Published
- 2021
49. Scrotal Ultrasound: Updates on Testicular Microlithiasis, Incidental Non-Palpable Lesions, Varicoceles and Testicular Infarction
- Author
-
Eric Gray, Michael Y. Liu, Michael E. Hahn, and Masoud Shiehmorteza
- Subjects
medicine.medical_specialty ,Modalities ,business.industry ,Ultrasound ,Varicocele ,medicine.disease ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Clinical history ,030220 oncology & carcinogenesis ,Medicine ,Radiology, Nuclear Medicine and imaging ,Testicular infarction ,Physical exam ,Non palpable ,Radiology ,business ,Testicular microlithiasis - Abstract
Ultrasound (US) is the first-line imaging modality when evaluating scrotal pathology. This review will examine some common pathologies that can present diagnostic and clinical ambiguity, including testicular microlithiasis, incidental non-palpable lesions, varicoceles, and testicular infarctions. This review aims to summarize the current literature and evidence-based guidelines for these entities and to describe the important sonographic features for diagnosis as well as discuss associated clinical implications. Current guidelines suggest that management for testicular microlithiasis is dependent on associated patient risk factors and the presence or absence of other findings on ultrasound. Incidental non-palpable lesions are a diagnostic and management challenge and evolving recommendations depend on the size of the lesion and other associated features. Alternatively, varicocele is a relatively straightforward entity to diagnose, but management strategies depend on the patient’s clinical symptoms and fertility status. Testicular infarctions can also have challenging diagnostic and management approaches, especially when they are segmental. In all of these testicular pathologies, patient risk factors, clinical history, and physical exam are important factors to help guide diagnosis and management. In difficult cases, additional modalities including MRI can add to diagnostic certainty. Ultrasound plays a vital role in distinguishing multiple testicular abnormalities, including testicular microlithiasis, incidental non-palpable lesions, varicoceles, and testicular infarctions. This review summarizes the current literature as well as the available evidence-based guidelines to help define the strength and limitations of US. This review helps delineate the indications for follow-up ultrasound, the salient patient risk factors and clinical findings, and the role of other imaging modalities to increase diagnostic accuracy. This review will assist the radiologist in better identifying and managing these testicular abnormalities, and, in some cases, reduce the number of unnecessary radical orchiectomies.
- Published
- 2020
50. Necrosis testicular asociada a gangrena de Fournier de origen intraabdominal Gangrena de Fournier: Nuestra experiencia y revisión de la literatura. Parte II.
- Author
-
Monterrosas-Minutti, Carlos Alberto, Becerra-Cárdenas, Jaime, Solís-Escobedo, Julio C., Chávez-Delgado, J. Gabriel, Guerrero Nuño, José, Segura-Huerta, Mario A., Magaña-Bustamante, Oscar A., Martínez, Gustavo Félix Vargas, and Regalado, Francisco Gómez
- Abstract
Introduction: Acute appendicitis represents the most frequent surgical abdominal emergency, with a late diagnosis in 32% of the cases, with associated complications that raise the morbidity and mortality for this cause, representing one of the medical conditions with most claim for bad practice. Fournier's Gangrene represents a necrotizing fasciitis that involves perineum, scrotum and penis, predominantly with dermatological, urological and proctological origin. Nevertheless, the presence of this syndrome secondary to appendicular perforation is infrequent and few cases are reported, and is extremely rare in association with testicular infarction. Clinical case: Male 29 years old with Fournier's Gangrene and testicular infarction secondary to apendicular perforation and review of the literature. Conclusion: Fournier's Gangrene secondary to apendicular perforation represents a fatal consequence of a common illness, and objectively demonstrates the importance of consider apendicitis as a cause of Fournier's Gangrene and associated testicular infarction. [ABSTRACT FROM AUTHOR]
- Published
- 2014
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.