scholarly journals Segmental Testicular Infarction, an Underdiagnosed Entity: Case Report with Histopathologic Correlation and Review of the Diagnostic Features

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Sahar Shiraj ◽  
Nisha Ramani ◽  
Andrij R. Wojtowycz
Keyword(s):  
Diagnostic Features ◽  
Left Testis ◽  
Scrotal Pain ◽  
Left Testicle ◽  
Scrotal Ultrasound ◽  
Testicular Infarction ◽  
Segmental Infarction ◽  
History Of ◽  
Radical Orchiectomy ◽  
Segmental Testicular Infarction

A 30-year-old male presented with a 1-day history of left scrotal pain and a tender left testicle and epididymis on physical exam. Scrotal ultrasound showed an avascular, heterogeneous, hypoechoic lesion in the superior left testis suggestive of infarction or neoplasm. The patient was managed conservatively; however, his pain continued and follow-up ultrasound 6 days later showed interval increase in the size of the mass. Left radical orchiectomy was done and pathology result showed segmental infarction of the left testis.

scholarly journals An 81-year-old patient with recent diagnosis of classic testicular seminoma

2016 ◽  
Vol 10 (2) ◽  
pp. 143
Author(s):  
Sandro José Martins ◽  
José Carlos De Almeida ◽  
Vitorino Modesto Dos Santos ◽  
Ana Carolina Vieira Cançado ◽  
Giovanna Ferraz Cavalcanti ◽  
...  
Keyword(s):  
Early Stage ◽  
Testicular Tumor ◽  
Population Based ◽  
Medical Attention ◽  
Left Testis ◽  
Testicular Seminoma ◽  
Left Testicle ◽  
First Choice ◽  
Recent Diagnosis ◽  
Radical Orchiectomy

An old patient with recent diagnosis of classic seminoma is reported. The tumor of left testicle was heralded by tenderness about 30 days before medical attention and enlarged testis confirmation. There was antecedent of left testis hypotrophy treated with testosterone and a surgery for varicocele at 15 years of age. Clinical hypothesis of testicular tumor was strengthened by ultrasonography images and elevated tumor markers (lactate dehydrogenase, <span>α</span>-fetoprotein, and <span>β</span>-hCG). Radical orchiectomy was performed and a classic seminoma (pT1pNx) was diagnosed. Active waiting was the first choice for management, but six months later a retroperitoneal mass with lymph node enlargement were found, and he underwent four sessions of carboplatin (AUC 5), bleomycin and etoposide (BEP regimen). Asymptomatic, he was referred to outpatient surveillance on Oncology. Population-based studies about frequency and outcome of early-stage testis seminoma in elderly are scarce. Case studies might contribute to the knowledge about this condition.

scholarly journals EP.FRI.596 A Tale of Two Ultrasounds

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Christopher Blenkharn ◽  
Baseerat Anwar ◽  
Praveen Rao ◽  
Jawad Ul Islam
Keyword(s):  
Testicular Torsion ◽  
Time Window ◽  
General Anaesthetic ◽  
Unexpected Events ◽  
Left Testis ◽  
Scrotal Ultrasound ◽  
History Of ◽  
History Of Pain ◽  
Surgical Manipulation ◽  
Operating Surgeon

Abstract Background Testicular torsion is a common cause of acute testicular pain, which requires immediate investigation and treatment. We describe a unique presentation of testicular torsion, which required the operating surgeon to assess the viability of a clinically dead testis through surgical manipulation, 16 hours after onset of pain. Case Report A 19 year old male presented with a 12 hour history of pain and swelling in the left scrotum. Examination revealed the left testes was hard, swollen and tender with a palpable spermatic cord. Clinical diagnosis of testicular mass or epididymo-orchitis was suggested and scrotal ultrasound was organised. This reported no blood flow in the left testis, and so torsion was suspected. Patient was taken immediately to theatre. Examination was performed under general anaesthetic, which revealed a hard, swollen testis, with no torsion clinically. Midline scrotal incision was made. On visual examination, left testis was black and hard, but there was no obvious torsion in the cord. However, during manipulation, the testis softened and started to change colour, eventually becoming dusky. A small incision into the testis showed bright red blood, and the decision was made to replace the testis and fix both testes. The patient made an excellent recovery post-operatively. Repeat ultrasound showed return of testicular vascularity. Conclusion This case showcases the importance of considering salvage in patients who have presented even after the generally accepted 6-8 hour time window. It also highlights the value of an experienced surgeon’s judgement in unusual presentations and with unexpected events intraoperatively.

scholarly journals 1647 A Rare Case of Segmental Testicular Infarct and Subsequent Investigations

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
C Horn
Keyword(s):  
Rare Condition ◽  
Computed Tomography Imaging ◽  
Significant Past Medical History ◽  
Tomography Imaging ◽  
Blood Tests ◽  
Testicular Pain ◽  
Testicular Infarction ◽  
History Of ◽  
Segmental Testicular Infarction ◽  
Rule Out

Abstract Segmental testicular infarction (STI) is a very rare condition, with less than 70 cases reported since 1909. It generally presents with testicular pain and may be confused clinically with testicular torsion and radiologically with testicular cancer. However, it can be managed conservatively, unlike those diagnoses, so in order to avoid unnecessary treatment it should be considered as a differential in presentations of testicular pain. The etiology of STI is most commonly idiopathic (70% of cases), but it is important to rule out underlying infection, clotting disorders or vasculitis. As a result, whenever this diagnosis is made, it is vital to carry out further investigations. This case concerns a 36-year-old chef, with no significant past medical history, who presented with a 24-hour history of severe testicular pain. Due to the length of time from onset of symptoms, he underwent routine blood tests, urinalysis and an ultrasound rather than proceeding to scrotal exploration. This showed a wedge-shaped hypoechoic area in keeping with segmental infarct. As a result, he was managed conservatively, but subsequently had further specialist blood tests, as well as computed tomography imaging and several interval ultrasounds. No cause was found and after several months, while the hypoechoic area seen on ultrasound was still present, his pain had resolved. While this a rare cause of testicular pain, it is important to consider it as a diagnosis, as it may avoid an unnecessary operation. Subsequent investigations are complex, so it is important to appreciate their necessity.

scholarly journals Bilateral Segmental Testicular Infarction

2007 ◽  
Vol 7 ◽  
pp. 779-783 ◽  
Author(s):  
Aaron Bayne ◽  
Brad Koslin ◽  
Siamak Daneshmand
Keyword(s):  
Acute Scrotum ◽  
Rare Entity ◽  
Management Options ◽  
The Past ◽  
First Case ◽  
Testicular Infarction ◽  
Radical Orchiectomy ◽  
Malignant Lesions ◽  
Segmental Testicular Infarction

Segmental testicular infarction is a rare entity with fewer than 40 cases documented in the literature. It frequently mimics an acute scrotum presenting with pain and swelling. Difficulty distinguishing benign from malignant lesions on imaging has led to radical orchiectomy in the past. With improvements in imaging, this condition may be treated more conservatively. We present the first case of bilateral segmental testicular infarction and discuss management options.

scholarly journals Leiomyosarcoma of the spermatic cord: case report and literature review

2012 ◽  
Vol 1 (1) ◽  
Author(s):  
Pankaj Dangle ◽  
Doddametikurke R. Basavaraj ◽  
Selina Bhattarai ◽  
Alan B. Paul ◽  
Chandra Shekhar Biyani,
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Ct Scan ◽  
Spermatic Cord ◽  
Ct Scans ◽  
Excision Biopsy ◽  
Ultrasound Scan ◽  
Left Testis ◽  
Scrotal Ultrasound ◽  
History Of

A 51-year-old man presented with a 2-year history of painless lump in the lefthemiscrotum. Scrotal examination demonstrated a 3-cm, firm-to-hard massattached to the left spermatic cord. Scrotal ultrasound scan revealed a heterogeneousmass separate from the left testis and epididymis. An orchidectomywas recommended to the patient; however, he declined surgery andunderwent excision biopsy of the lesion with preservation of the left testis.Histology suggested a leiomyosarcoma of the spermatic cord and positivemargins. Following a normal staging CT scan, the patient was referred tothe regional sarcoma clinic. He was treated with an orchidectomy. Microscopicexaminations showed fibrosis in the spermatic cord and negative margins.The patient has been followed up for 12 months with CT scans and shows nosigns of recurrence.

scholarly journals POLYORCHIDISM

2018 ◽  
Vol 25 (09) ◽  
pp. 1447-1449
Author(s):  
Muhammad Arshad ◽  
Muhammad Arshad Manzoor ◽  
Zimar Arshad ◽  
Talia Arshad
Keyword(s):  
Color Doppler ◽  
Color Doppler Ultrasound ◽  
Left Testis ◽  
Left Testicle ◽  
History Of ◽  
Optimal Line ◽  
One Year ◽  
Painless Mass ◽  
Superior Pole

Polyorchidism is a very rare anomaly that is defined by the presence ofmore than two testes. Knowledge about the condition and accurate imaging diagnosis andcharacterization is important to decide the optimal line of management and avoid unnecessarysurgery. A 14-year-old male reported for Scrotal Color Doppler Ultrasound with complaint ofa painless mass in the left scrotum with no history of trauma. On physical examination, therewere two palpable, ovoid, mobile, non-tender masses in the left hemiscrotum. Scrotal ColorDoppler Ultrasonography (USG) revealed a well circumscribed supernumerary testicle in theleft scrotum adjacent to superior pole of left testis with parenchymal echogenicity and dopplervascularity like that of normal testis parenchyma. In conclusion, diagnosis was polyorchidismwith duplication of the left testicle. The patient was advised follow-up after one-year. USG is themodality of choice to assist in the diagnosis.

Distribution, systematics and nomenclature of the three taxa of Common Stonechats (Aves, Passeriformes, Muscicapidae, Saxicola) that breed in the Caucasian region

2020 ◽  
Vol 29 (1) ◽  
pp. 33-57
Author(s):  
V.M. Loskot ◽  
G.B. Bakhtadze
Keyword(s):  
Geographic Distribution ◽  
Habitat Preferences ◽  
Junior Synonym ◽  
Type Locality ◽  
Diagnostic Features ◽  
Western Turkey ◽  
Geographical Variations ◽  
History Of ◽  
The Individual ◽  
North Western

Geographic distribution and habitat preferences of Saxicola rubicola rubicola (Linnaeus, 1766), S. maurus variegatus (S.G. Gmelin, 1774), and S. m. armenicus (Stegman, 1935) inhabiting the Caucasian Isthmus and adjacent areas are described in detail. We examined the individual, sexual, age, seasonal and geographical variations of seven main diagnostic features of both plumage and morphometrics (exactly, the length of wing and tail) using 381 skin specimens. Substantially improved diagnoses of S. m. variegatus and S. m. armenicus are provided. After a thorough examination of the materials and history of the expedition of Samuel Gmelin in 1768–1774, and his description of Parus variegatus, it was concluded that the type locality of this taxon was the vicinity of Shamakhi in Azerbaijan not Enzeli in North-Western Turkey. It is also shown the fallacy of the recently proposed attribution of the holotype of the northern subspecies S. m. variegatus to the southern taxon S. m. armenicus and synonymisation of these names, as well as the replacement of the name S. m. variegatus by its junior synonym S. m. hemrichii Ehrenberg, 1833 for the northern subspecies.

scholarly journals Bowel incarceration within the vaginal tunic in a three-and-half-year-old bilaterally cryptorchid Lhasa Apso

2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Dorcas Oyueley Kodie ◽  
Noah Segun Oyetayo ◽  
Oladotun Solomon Awoyemi ◽  
Cecelia Omowunmi Oguntoye ◽  
Oghenemega David Eyarefe
Keyword(s):  
Risk Factor ◽  
Sertoli Cell ◽  
Epidural Anaesthesia ◽  
Spermatic Cord ◽  
Abdominal Cavity ◽  
Case Presentation ◽  
Spermatic Cord Torsion ◽  
Left Testicle ◽  
History Of ◽  
Sertoli Cell Tumours

Abstract Background Cryptorchidism in dogs is of clinical concern due to its association with development of Sertoli cell tumours, seminomas and spermatic cord torsion. A patent inguinal ring has been found as a risk factor for peritoneal content migration and inguinal hernias. This study reports a case of bowel migration through a patent inguinal ring in a bilaterally cryptorchid dog and incarceration within the vaginal tunic of the left testicle. Case presentation A three-and-a-half-year-old bilaterally cryptorchid Lhasa Apso with a history of anorexia, vomiting, stranguria and inability to defecate was diagnosed with bowel incarceration in the vaginal tunic of a retained left testicle. Surgery performed under epidural anaesthesia with acepromazine/butorphanol premedication revealed a loop of the colon entrapped in the vaginal tunic of the retained left testicle. The incarcerated bowel was thoroughly examined for viability and repositioned into the abdominal cavity. The inguinal ring was repaired and bilateral cryptorchidectomy performed. Conclusion Cryptorchidectomy in dogs is often considered when there is concern for neoplasm or torsion of retained testes. However, this report suggests that cryptorchidectomy should be considered also to preclude the possibility of bowel obstructive emergencies.

Sonographic Discovery of Segmental Testicular Infarction

2021 ◽  
pp. 875647932110649
Author(s):  
Kelly Pham
Keyword(s):  
Conservative Treatment ◽  
Testicular Torsion ◽  
Treatment Process ◽  
Surgical Intervention ◽  
Treatment Approach ◽  
Accurate Diagnosis ◽  
Sonographic Diagnosis ◽  
Testicular Infarction ◽  
Segmental Testicular Infarction

The prevalence of segmental testicular infarction is extremely uncommon and very few cases have been reported in literature. Clinical and sonographic presentation of this condition can mimic testicular neoplasms or testicular torsion. Therefore, accurate diagnosis of segmental testicular infarction is imperative in the treatment process. This case study presents the sonographic diagnosis of testicular infarction in a 49-year-old man who reported mild testicular tenderness. A conservative treatment approach was used, saving the patient unnecessary surgical intervention.

scholarly journals Bilateral Segmental Testicular Infarction

TSW Urology ◽  
2007 ◽  
Vol 2 ◽  
pp. 53-57
Author(s):  
Aaron Bayne ◽  
Brad Koslin ◽  
Siamak Daneshmand
Keyword(s):  
Testicular Infarction ◽  
Segmental Testicular Infarction
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