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[Asynchronous Bilateral Testicular Infarction with Suspected Polyarteritis Nodosa : A Case Report]
Masayuki Kurokawa1, Sei Naito1, Osamu Ichiyanagi1
1The Department of Urology, Yamagata University, Faculity of Medicine.
Hinyokika Kiyo. Acta Urologica Japonica
|January 21, 2017
Summary
This case report details a man experiencing testicular infarction in his left testicle, years after his right testicle was removed due to a similar condition. The findings highlight the risk of contralateral testicular infarction and its management.
Area of Science:
- Urology
- Pathology
- Vascular Medicine
Background:
- Testicular infarction is a rare condition affecting the blood supply to the testicle.
- Patients with a history of testicular infarction have an increased risk of contralateral involvement.
- Polyarteritis nodosa (PAN) is an autoimmune disease that can affect blood vessels, potentially leading to infarction.
Observation:
- A 42-year-old male presented with acute left testicular pain and swelling.
- He had a prior right orchiectomy due to idiopathic testicular infarction 6 years earlier.
- He had a 5-year treatment history for suspected polyarteritis nodosa (PAN).
Findings:
- Left orchiectomy was performed due to persistent scrotal pain.
- Pathological examination revealed testicular hemorrhage and chronic vasculopathy, but not the characteristic fibrinoid necrosis of PAN.
- The findings suggest an idiopathic cause rather than active PAN for the contralateral testicular infarction.
Implications:
- This case underscores the potential for asynchronous bilateral testicular infarction.
- It emphasizes the importance of considering idiopathic causes even with a history suggestive of vasculitis.
- Understanding the pathogenesis and risk factors is crucial for managing testicular infarction and preventing recurrence.
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