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Testes: Histology

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A tough, fibrous membrane, the tunica albuginea, covers the testes, extending inward to form fibrous partitions or septa, dividing them into internal compartments called lobules. Each lobule has 1 to 3 tightly coiled seminiferous tubules where sperm production occurs. These tubules merge into a tubular network at the back of the testis, known as the rete testis. It connects to 15 to 20 efferent ductules, leading to the epididymis.
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Segmental testicular infarction: a case report.

Tine Smets¹, Gina Reichman², Dirk P J Michielsen³

¹Vrije Universiteit Brussel (VUB), Campus Jette, Laarbeeklaan 103, 1090, Brussels, Belgium.

Journal of Medical Case Reports

|May 19, 2017

Summary

Segmental testicular infarction is a rare condition that can mimic testicular torsion or cancer. This case highlights conservative management and diagnosis to avoid unnecessary radical treatment.

Keywords:

Scrotal pain Segmental testicular infarction Testicular torsion Testicular tumor

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Area of Science:

Urology
Radiology
Emergency Medicine

Background:

Segmental testicular infarction (STI) is a rare condition.
STI can present symptoms similar to testicular torsion or malignancy.
Accurate diagnosis is crucial to prevent unnecessary surgical interventions.

Observation:

A 36-year-old male presented with subacute testicular pain.
Diagnostic workup included urinalysis, Doppler ultrasound, blood tests, and MRI.
The patient underwent conservative management following surgical exploration.

Findings:

The diagnostic process aimed to rule out testicular torsion and malignancy.
Post-treatment follow-up confirmed resolution of symptoms.
Ultrasonography revealed residual hypo-echogenicity, indicating resolved ischemia.

Implications:

This case report aids in recognizing and diagnosing segmental testicular infarction.
Early and accurate diagnosis prevents potentially unnecessary radical treatments.
Highlights the importance of a comprehensive diagnostic approach for testicular emergencies.