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Segmental Testicular Infarction
Author(s) -
Aquino Michael,
Nghiem Hanh,
Jafri Syed Zafar,
Schwartz John,
Malhotra Rajwant,
Amin Mitual
Publication year - 2013
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/jum.2013.32.2.365
Subject(s) - medicine , orchiectomy , infarction , echogenicity , radiology , lesion , magnetic resonance imaging , ultrasonography , pathology , surgery , myocardial infarction
Segmental testicular infarction can mimic testicular carcinoma on sonography and can lead to unnecessary orchiectomy. This case series describes and correlates sonographic and histologic findings of 7 pathologically proven segmental testicular infarction cases. Segmental testicular infarction should be suspected on sonography when a geographic lesion with low or mixed echogenicity has absent or near‐absent flow in a patient with scrotal pain. A hyperechoic rim and peripheral hyperemia correspond to interstitial hemorrhage and inflammatory changes. As an infarct evolves, it becomes more discrete and hypoechoic as ghost outlines replace seminiferous tubules. Follow‐up or contrast‐enhanced magnetic resonance imaging or sonography can increase diagnostic confidence in suspected cases and prevent unnecessary orchiectomy.