Segmental testicular infarction: A case report of a rare condition

Bilel Saidani; Marouene Chakroun; Saadi Ahmed; Mokadem Seif; Mohamed Riadh Ben Slama; Chebil Mohamed

doi:10.1016/j.eucr.2022.102115

Segmental testicular infarction: A case report of a rare condition

Urol Case Rep. 2022 May 13:43:102115. doi: 10.1016/j.eucr.2022.102115. eCollection 2022 Jul.

Authors

Bilel Saidani¹, Marouene Chakroun¹, Saadi Ahmed¹, Mokadem Seif¹, Mohamed Riadh Ben Slama¹, Chebil Mohamed¹

Affiliation

¹ University of Tunis El Manar, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Urology Department, Tunis, Tunisia.

Abstract

Segmental testicular infarction(STI) is a rare unknown condition. Clinical presentation is non-specific and management is unconsensual. We report clinical and surgical management of a segmental testicular infarction. A 18-years old adult presented to emergency with acute right testicular pain. The only triggering factor was a stressful situation. Examination revealed a slightly swollen, non-ascending testicle with no inflammatory signs. We suspected spermatic -cord torsion(SCT), we decided to explore it surgically. Exploration showed a well-demarcated infarcted inferior pole of right testicle. Partial orchiectomy was performed. STI is a rare entity often clinically confused with SCT. Diagnosis is based on intraoperative findings.

Keywords: Orchiectomy; Scrotal pain; Testicular infraction.

Publication types

Case Reports