Segmental Testicular Infarction following Herniorrhaphy and Varicocelectomy

Abstract

Segmental infarction of the testis is rare. To the best of our knowledge 36 cases have been reported in the literature. We report a case of focal infarction of the upper pole of the testis in a 23-year-old man following herniorrhaphy and varicocelectomy, treated with conservative surgery after intraoperative negative biopsy. The authors review the pertinent literature in terms of differential diagnosis, etiology and management.

Segmental testicular infarction: Case series and brief literature review of a great mime

“…[12345] It has been described as a surgical complication following laparoscopic inguinal hernia repair, herniorrhaphy, varicocelectomy, vasectomy, or radical cystectomy. [26789]…”

Segmental testicular infarct with an associated testicular artery aneurysm: Case report of a rare clinical entity

“…The age distribution is later than the classic testicular infarction/testicular torsion and is seen in the 2nd-fourth decades of life. Most cases are idiopathic, although associations with epididymo-orchitis, intermittent testicular torsion, vasculitis, sickle cell disease, hypercoagulable states, trauma, polyarteritis nodosa, diabetic microangiopathy, embolic disease, and previous surgery (hernia repair, varicocelectomy, vasectomy, cysto-prostatectomy) have been documented [5] , [6] , [7] , [13] , [14] , [15] , [16] , [17] , [18] ]. Interestingly, an extensive work up of our patient was negative for these associated conditions.…”

Segmental Testicular Infarction Due to Arterial Atheroma: A Case Report

“…In most cases of segmental testicular infarction, an underlying cause is not identified [ 10 ]. However, a number of predisposing factors have been reported, including epididymo-orchitis, trauma, post-surgery, partial torsion, hypercoagulable states, and, in this case, atheromatous disease [ 2 , 3 , 5 , 7 , 8 , 12 , 13 ]. The patient had a number of risk factors for atheromatous embolism; he was a current smoker, taking anticoagulant medication, and had a CT angiogram confirmed atherosclerotic vascular disease involving his abdominal aorta and bilateral lower limbs, with high-grade right superficial femoral artery stenoses.…”