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Updated: Aug 13, 2025

Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
Published on: March 31, 2023
Conservative management of pubertal segmental testicular infarction associated with epididymitis
Hidenori Nishio1, Kentaro Mizuno1, Daisuke Matsumoto2
1Department of Pediatric Urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Abstract:
Urgent scrotal exploration is performed for segmental testicular infarction (STI) because malignant testicular tumors cannot be ruled out even when STI is suspected on color Doppler ultrasound (US). This report describes the case of a 14-year-old boy who was successfully diagnosed with STI associated with epididymitis using color Doppler US to avoid radical orchiectomy. To our knowledge, this is the first report of STI being diagnosed during puberty and managed using color Doppler US and contrast-enhanced magnetic resonance imaging-guided conservative treatment.
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