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Segmental Testicular Infarction: A Case Report
Ali Almalki1, Ibrahim Z Salloot2, Mohammed Mahjoub1
1Department of Urology, King Fahad Military Medical Complex, Dhahran, SAU.
Cureus
|July 22, 2022
Summary
Segmental testicular infarction is a rare cause of testicular pain that can mimic other serious conditions. Early diagnosis and conservative management can help avoid unnecessary surgery.
Area of Science:
- Urology
- Andrology
- Diagnostic Imaging
Background:
- Segmental testicular infarction (STI) is an uncommon scrotal pathology.
- The exact pathophysiology of STI remains largely unknown.
- STI presents with acute testicular pain, mimicking testicular torsion or epididymo-orchitis.
Observation:
- Ultrasound findings can sometimes be misconstrued as a testicular tumor.
- This diagnostic ambiguity can lead to inappropriate surgical interventions.
- Clinical presentation often necessitates a differential diagnosis approach.
Findings:
- Accurate assessment and specific diagnostic tests are crucial for STI diagnosis.
- Conservative management is often successful in treating STI.
- Unnecessary surgical exploration can be avoided with proper evaluation.
Implications:
- Highlights the importance of accurate ultrasound interpretation in scrotal emergencies.
- Emphasizes the potential for non-operative management of STI.
- Guides urologists in differentiating STI from other acute testicular pathologies to prevent overtreatment.
