Segmental testicular infarction is a very rare condition, which can mimic a testicular torsion or testicular cancer. Correct diagnosis is difficult but it is important to avoid unnecessary radical treatment.
We report a clinical case of a 36-year-old white man who presented at our emergency department with subacute testicular pain. A urine analysis, Doppler ultrasound, surgical exploration, blood analysis, and magnetic resonance imaging were performed to diagnose his condition, to exclude a testicular torsion, and to raise confidence in its non-malignancy. He was treated conservatively. At follow-up, a few months after the incident, he no longer had complaints. Ultrasonography showed remaining hypo-echogenicity of the left upper pole, indicating a sequel of ischemia.
Segmental testicular infarction is a rare condition which can be easily confused with a testicular torsion or a testicular tumor. This case report can be helpful in recognizing and diagnosing this condition. Making the right diagnosis is important since it can prevent an unnecessary radical treatment.
Journal of medical case reports. 2017 May 18*** epublish ***
Tine Smets, Gina Reichman, Dirk P J Michielsen
Vrije Universiteit Brussel (VUB), Campus Jette, Laarbeeklaan 103, 1090, Brussels, Belgium., Department of Urology, University Hospital Brussels (UZ Brussel), Laarbeeklaan 101, 1090, Brussels, Belgium., Department of Urology, University Hospital Brussels (UZ Brussel), Laarbeeklaan 101, 1090, Brussels, Belgium. .