Segmental testicular infarction: A case report of a rare condition

• Published in: Urology case reports Vol. 43; p. 102115
• Main Authors: Saidani, Bilel, Chakroun, Marouene, Ahmed, Saadi, Seif, Mokadem, Ben Slama, Mohamed Riadh, Mohamed, Chebil
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-07-2022; Elsevier
• Subjects: Endrology & Infertility; Orchiectomy; Scrotal pain; Testicular infraction; Scrotal pain; Testicular infraction; Orchiectomy
• ISSN: 2214-4420; 2214-4420
• DOI: 10.1016/j.eucr.2022.102115

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.