Segmental testicular infarct with an associated testicular artery aneurysm: Case report of a rare clinical entity
Segmental testicular infarct is a rare clinical entity and can be a diagnostic challenge. Although cases are often idiopathic, underlying etiologies can include testicular torsion, epididymo-orchitis, trauma, vasculitis, and hypercoagulable states. Once suspected, an underlying testicular neoplasm s...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322001522 |
| _version_ | 1818251720867708928 |
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| author | Karan Rao, MD Yashant Aswani, MD Sarv Priya, MD Skylar Kemp, BS, RDMS, RVT, RT(R) Maheen Rajput, MD |
| author_facet | Karan Rao, MD Yashant Aswani, MD Sarv Priya, MD Skylar Kemp, BS, RDMS, RVT, RT(R) Maheen Rajput, MD |
| author_sort | Karan Rao, MD |
| collection | DOAJ |
| description | Segmental testicular infarct is a rare clinical entity and can be a diagnostic challenge. Although cases are often idiopathic, underlying etiologies can include testicular torsion, epididymo-orchitis, trauma, vasculitis, and hypercoagulable states. Once suspected, an underlying testicular neoplasm should be excluded. We present a case of a 43-year-old male who developed acute onset left sided scrotal pain. A diagnostic scrotal ultrasound showed a focal, heterogeneous region in left testicle with absent focal Doppler signal, concerning for a segmental testicular infarction. There was no history of trauma, urinary symptoms, sexually transmitted diseases, or constitutional symptoms. Work up for associated underlying etiologies was negative. A computed tomography angiogram scan of the abdomen and pelvis revealed an incidental left testicular artery aneurysm. The patient's consulting multidisciplinary care teams included urology and vascular surgery. Urology deemed surgical intervention inappropriate for the segmental testicular infarct, and vascular surgery elected not to intervene on the testicular artery aneurysm due to risk of completing testicular infarct and damaging blood supply to the testis. The patient was discharged after achieving adequate pain control, and completion of inpatient work up. No underlying malignancy was diagnosed on follow up, and pain symptoms resolved. To the authors’ knowledge, no literature exists describing the concurrent incidence of a segmental testicular infarct and an ipsilateral testicular artery aneurysm. In this report, we aim to further describe both diagnoses, and explore the association between the 2 entities. |
| first_indexed | 2024-12-12T16:12:46Z |
| format | Article |
| id | doaj.art-850eee99556a4ca6bb9791c3da664704 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-12T16:12:46Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-850eee99556a4ca6bb9791c3da6647042022-12-22T00:19:10ZengElsevierRadiology Case Reports1930-04332022-06-0117621502154Segmental testicular infarct with an associated testicular artery aneurysm: Case report of a rare clinical entityKaran Rao, MD0Yashant Aswani, MD1Sarv Priya, MD2Skylar Kemp, BS, RDMS, RVT, RT(R)3Maheen Rajput, MD4Department of Radiology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242-1077, USADepartment of Radiology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242-1077, USADepartment of Radiology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242-1077, USADepartment of Radiology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242-1077, USACorresponding author.; Department of Radiology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242-1077, USASegmental testicular infarct is a rare clinical entity and can be a diagnostic challenge. Although cases are often idiopathic, underlying etiologies can include testicular torsion, epididymo-orchitis, trauma, vasculitis, and hypercoagulable states. Once suspected, an underlying testicular neoplasm should be excluded. We present a case of a 43-year-old male who developed acute onset left sided scrotal pain. A diagnostic scrotal ultrasound showed a focal, heterogeneous region in left testicle with absent focal Doppler signal, concerning for a segmental testicular infarction. There was no history of trauma, urinary symptoms, sexually transmitted diseases, or constitutional symptoms. Work up for associated underlying etiologies was negative. A computed tomography angiogram scan of the abdomen and pelvis revealed an incidental left testicular artery aneurysm. The patient's consulting multidisciplinary care teams included urology and vascular surgery. Urology deemed surgical intervention inappropriate for the segmental testicular infarct, and vascular surgery elected not to intervene on the testicular artery aneurysm due to risk of completing testicular infarct and damaging blood supply to the testis. The patient was discharged after achieving adequate pain control, and completion of inpatient work up. No underlying malignancy was diagnosed on follow up, and pain symptoms resolved. To the authors’ knowledge, no literature exists describing the concurrent incidence of a segmental testicular infarct and an ipsilateral testicular artery aneurysm. In this report, we aim to further describe both diagnoses, and explore the association between the 2 entities.http://www.sciencedirect.com/science/article/pii/S1930043322001522Segmental testicular infarctionScrotal ultrasoundTesticular artery aneurysmAcute scrotum |
| spellingShingle | Karan Rao, MD Yashant Aswani, MD Sarv Priya, MD Skylar Kemp, BS, RDMS, RVT, RT(R) Maheen Rajput, MD Segmental testicular infarct with an associated testicular artery aneurysm: Case report of a rare clinical entity Radiology Case Reports Segmental testicular infarction Scrotal ultrasound Testicular artery aneurysm Acute scrotum |
| title | Segmental testicular infarct with an associated testicular artery aneurysm: Case report of a rare clinical entity |
| title_full | Segmental testicular infarct with an associated testicular artery aneurysm: Case report of a rare clinical entity |
| title_fullStr | Segmental testicular infarct with an associated testicular artery aneurysm: Case report of a rare clinical entity |
| title_full_unstemmed | Segmental testicular infarct with an associated testicular artery aneurysm: Case report of a rare clinical entity |
| title_short | Segmental testicular infarct with an associated testicular artery aneurysm: Case report of a rare clinical entity |
| title_sort | segmental testicular infarct with an associated testicular artery aneurysm case report of a rare clinical entity |
| topic | Segmental testicular infarction Scrotal ultrasound Testicular artery aneurysm Acute scrotum |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322001522 |
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