Segmental testicular infarction: A case report of a rare condition.

睾丸节段性梗死 ： 一例罕见的病例报告。

• 发表时间: Jul 2022
• 来源期刊: Urol Case Rep
• DOI: 10.1016/j.eucr.2022.102115
• PMID: 35600806
• 文章类型: Case Reports
• 作者列表: Saidani B,Chakroun M,Ahmed S,Seif M,Ben Slama MR,Mohamed C,Saidani B,Chakroun M,Ahmed S,Seif M,Ben Slama MR,Mohamed C

关键词: Orchiectomy; Scrotal pain; Testicular infraction; Orchiectomy; Scrotal pain; Testicular infraction

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.

摘要

睾丸节段性梗死（STI）是一种罕见的未知疾病。临床表现是非特异性的，管理是未经同意的。我们报告了睾丸节段性梗塞的临床和外科治疗。一名18岁的成年人因急性右睾丸疼痛而急诊。唯一的触发因素是紧张的情况。检查发现轻微肿胀，没有炎症迹象的非上升睾丸。我们怀疑精索扭转（SCT），我们决定进行手术探索.探查显示右睾丸下极梗死。进行部分睾丸切除术。STI是临床上经常与SCT混淆的罕见实体。诊断基于术中发现。