[Idiopathic testicular infarction: a case report]

Area of Science:

• Urology
• Pathology

Background:

• Idiopathic testicular infarction is a rare condition.
• It presents with acute testicular pain and swelling.

Observation:

• A 20-year-old male presented with right testicular pain and swelling.
• Imaging revealed a hypoechoic lesion with absent blood supply, raising suspicion for torsion or malignancy.
• Surgical exploration excluded torsion.

Findings:

• Histopathological examination confirmed testicular infarction, characterized by hemorrhage and congestion.
• The condition was idiopathic, meaning the cause was unknown.

Implications:

• This case highlights the importance of considering idiopathic testicular infarction in the differential diagnosis of acute scrotum.
• Orchiectomy may be necessary to rule out malignancy when imaging is equivocal.
• Further research is needed to understand the etiology of idiopathic testicular infarction.