[Segmental infarct of testicle: an infrequent pseudotumor]

Actas Urol Esp. 2010 Feb;34(2):194-200.
[Article in Spanish]

Abstract

Objective: To review the morphologic features of the segmental infarct of testicle with special insistence in the differential diagnosis with a testicular tumor.

Material and methods: Retrospective revision of the cases with pathologic diagnostic of segmental infarct of testicle diagnosed and treated in our institution. In the selected cases, we review the histological slides and we collected the clinical and radiological features.

Results: We reported 6 cases with the following clinic-pathological features: the average age was 42 years old, both right and left testicles were affected with the same frequency, and the aetiology was idiopathic, trauma or inflammation. All of them with pathological diagnosis of segmental infarct of testicle, either acute or chronic, and in all of them a testicular tumor was suspected.

Conclusion: Segmental infarct of testicle is an unfrequent cause of testicular pseudotumor. It must be considered in the clinical differential diagnostic of testicular masses in order to avoid unnecessary orchiectomies.

MeSH terms

  • Adult
  • Brucellosis / complications
  • Diagnosis, Differential
  • Humans
  • Infarction / diagnosis*
  • Infarction / diagnostic imaging
  • Infarction / etiology
  • Infarction / surgery
  • Male
  • Orchiectomy
  • Retrospective Studies
  • Spermatic Cord Torsion / complications
  • Spermatic Cord Torsion / surgery
  • Testicular Neoplasms / diagnosis
  • Testis / blood supply*
  • Testis / diagnostic imaging
  • Testis / injuries
  • Testis / surgery
  • Ultrasonography