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Published on: December 30, 2025
[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.
Abstract:
This report documents a case of asynchronous bilateral testicular infarction. The patient was a 42- year-old man who presented with left testicular pain and swelling. He had a past history of right idiopathic testicular infarction and underwent a right orchiectomy 6 years ago. He also had received treatment for 5 years for suspected polyarteritis nodosa (PAN). The left scrotal pain persisted for a week and left orchiectomy was performed. Pathological evaluations demonstrated a benign testis with testicular hemorrhage and chronic vasculopathy. There was no fibrinoid necrosis of medium-size vessel walls which characterizes PAN. In this report, we review the pathogenesis, risk of contralateral testicular infarction, and management of testicular infarction.
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