Segmental Testicular Infarction

Segmental infarction of the testis: an exceptional complication of diabetes microangiopathy

“…Magnetic resonance imaging might be of great value as the ischaemic lesions have a characteristic pattern, although neoplasia could not be ruled out. 10 Most authors have chosen radical orchiectomy, and in few cases a partial orchiectomy had been reported, 11 we believe that segmental infarction is an indication on partial orchiectomy. In conclusion, the clinical and pathological findings in our case support the diagnosis of a focal testicular infarction secondary to diabetes microangiopathy.…”

Segmental testicular infarction as a complication of varicocelectomy: Sonographic findings

“…[1][2][3][4][5][6][7] Although the majority of these cases are idiopathic, the known causes of segmental infarction include polycythemia, sickle cell anemia, acute epididymitis, hypersensitivity angiitis, intimal fibroplasia of the spermatic cord arteries, and trauma.…”

“…1 However, segmental testicular infarction is extremely rare. [1][2][3][4][5][6][7] Although polycythemia, sickle cell anemia, acute epididymitis, hypersensitivity angiitis, intimal fibroplasia of the spermatic cord arteries, and benign testicular tumors have been linked to segmental infarction, the cause in most reported cases is unknown. [1][2][3][4][5][6][7] We report the gray-scale and color Doppler sonographic findings in a case of segmental infarction of the testis associated with varicocelectomy.…”

Segmental Testicular Infarction following Herniorrhaphy and Varicocelectomy

“…With regard to this kind of complication an excessive dissection of a distal hernia sac, a dislocation of the testis from the scrotum into the wound and an associated scrotal surgery should be all avoided [13] . The theory of reduction in blood flow, due to venous thrombosis, to certain areas of testicular tissue which function as end organ [14] associated with segmental watershed areas supposed by Jordan seems to explain the pathogenesis of segmental testicular infarction. The presence of segmental angioarchitecture of the testicular lobule in man has been confirmed by Ergun et al [15] .…”