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Updated: Jun 22, 2026

A Microscopic 2,3,5-Triphenyltetrazolium Chloride Assay for Accurate and Reliable Analysis of Myocardial Injury
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[Segmentary testicular infarction].

José María Sánchez Merino1, José Carlos López Pacios, María del Carmen Piñeiro Fernández

  • 1Servicios de Urología, Hospital del Bierzo, Ponferrada, León, España. sanchezuro@hotmail.com

Archivos Espanoles De Urologia
|June 27, 2009
PubMed
Summary

Segmental testicular infarction is a rare condition that can mimic testicular tumors. This case highlights the diagnostic challenges and the need for surgical exploration when malignancy cannot be ruled out.

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Published on: November 19, 2008

Area of Science:

  • Urology
  • Pathology

Background:

  • Segmental testicular infarction (STI) is a rare condition characterized by localized ischemic necrosis of testicular tissue.
  • It often presents with acute scrotal pain, mimicking testicular torsion or tumors.

Observation:

  • A 52-year-old male presented with severe left testicular pain.
  • Physical examination revealed a tender induration. Sonography showed a hypoechoic, avascular lesion.
  • Tumor markers (beta-hCG, alpha-fetoprotein) were within normal limits.

Findings:

  • Radical orchiectomy was performed due to suspected testicular tumor.
  • Pathological examination confirmed focal testicular infarction, excluding malignancy and vasculitis.

Implications:

  • STI is frequently diagnosed post-orchiectomy when testicular tumors are suspected.
  • While advanced imaging may suggest STI, exploratory surgery is often necessary to definitively exclude malignancy.
  • Accurate diagnosis and management of STI are crucial to preserve testicular function.