MRI-guided conservative management of a left segmental testicular infarction

Nepal, Sat Prasad; Shichijo, Takeshi; Ogawa, Yoshio; Nakasato, Tatsuhiko; Nakagami, Yoshihiro; Murata, Jun; Oshinomi, Kazuhiko; Maeda, Yukihide; Unoki, Tsutomu; Inoue, Tatsuki; Kato, Ryosuke; Amano, Sadao; Mizunuma, Moyuru

doi:10.1016/j.radcr.2021.01.050

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…However, caution is needed in patients with concerning features such as elevated tumour markers. Alternatively, MRI imaging can help delineate the two pathologies, and prevent the need for operative intervention [ 8 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

Segmental Testicular Infarction Due to Arterial Atheroma: A Case Report

Hart¹,

Folkard²

2022

Cureus

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Segmental testicular infarction is an uncommon condition, of which the majority of cases are idiopathic. Cases associated with atherosclerotic disease are extremely rare, with only two other cases reported in the literature to our knowledge. We report the case of a 71-year-old man who presented with left testicular pain and a mass. Ultrasound imaging confirmed an upper pole left testicular mass, and he subsequently underwent radical inguinal orchidectomy for presumed testicular malignancy. Histological analysis revealed a segmental testicular infarction related to arterial atheroma. Segmental testicular infarction can mimic other pathologies, such as testicular torsion or cancer, resulting in misdiagnosis and potentially unnecessary surgery. Increased awareness of the risk factors and clinical features may help clinicians identify and appropriately manage this uncommon pathology.

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Section: Discussionmentioning

confidence: 99%

Segmental Testicular Infarction Due to Arterial Atheroma: A Case Report

Hart¹,

Folkard²

2022

Cureus

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“…Cases are, however, often idiopathic [8] . Diagnosis is established by scrotal ultrasound (US) and Doppler, and may be aided by Magnetic Resonance Imaging (MRI) [3 , 9] .…”

Section: Introductionmentioning

confidence: 99%