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Segmental Testicular Infarction.

Harmonie Candelier¹, Vassiliki Pasoglou¹, Sandy Van Nieuwenhove¹

¹Department of Radiology, Cliniques Universitaires de Saint Luc, Université Catholique de Louvain, Brussels, Belgium.

Journal of the Belgian Society of Radiology

|March 16, 2026

Summary

This summary is machine-generated.

Segmental testicular infarction is a rare condition. Recognizing its imaging changes is key to preventing unnecessary surgeries for testicular emergencies.

Keywords:

magnetic resonance imaging scrotal ultrasound testicular hematoma

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Area of Science:

Urology
Radiology
Pathology

Background:

Segmental testicular infarction (STI) is an uncommon condition affecting testicular tissue.
Limited literature exists on the imaging characteristics and natural progression of STI.

Purpose of the Study:

To highlight the importance of recognizing imaging findings of segmental testicular infarction.
To emphasize the need for awareness of its evolution to guide clinical management and avoid unnecessary interventions.

Main Methods:

Review of imaging studies (ultrasound, MRI) in patients diagnosed with segmental testicular infarction.
Correlation of imaging findings with clinical presentation and pathological results where available.

Main Results:

Segmental testicular infarction presents with varied imaging features that evolve over time.
Characteristic changes include initial hypoechogenicity/heterogeneity on ultrasound and altered signal intensity on MRI.
Delayed or atypical presentations can mimic other testicular pathologies, necessitating careful interpretation.

Conclusions:

Segmental testicular infarction is a rare diagnosis that can be challenging to identify.
Familiarity with the imaging spectrum and evolution of testicular infarction is crucial for accurate diagnosis.
Appropriate imaging interpretation can prevent misdiagnosis and avoid invasive procedures such as surgery.