The role of contrast enhanced ultrasound in the differential diagnosis of segmental testicular infarction
A 43-year-old male presented to the emergency department with acute left testicular pain. Physical exam showed a tender left testicle and epididymis with mild swelling. Doppler and contrast enhanced ultrasound revealed a heterogeneous, avascular lesion with hyper vascularized surrounding. Follow-up...
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2021-12-01
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doaj-0c2a6e4f649e4a1e9c5ef733d2cb0fb52021-10-09T04:37:18ZengElsevierRadiology Case Reports1930-04332021-12-01161238153820The role of contrast enhanced ultrasound in the differential diagnosis of segmental testicular infarctionMònica Roser Peradejordi Font, MD0Daniel Vas, MD1Isabel Trias Puigsureda, MD2Julián Manuel Moreno Rojas, MD3María José Ribal Caparrós, MD PhD4Carlos Nicolau Molina, MD PhD5Department of Urology, Hospital Clínic de Barcelona, SpainDepartment of Radiology, Hospital Clínic de Barcelona, Spain; Corresponding author.Department of Pathology, Hospital Clínic de Barcelona, SpainDepartment of Radiology, Hospital Clínic de Barcelona, SpainDepartment of Urology, Hospital Clínic de Barcelona, SpainDepartment of Radiology, Hospital Clínic de Barcelona, SpainA 43-year-old male presented to the emergency department with acute left testicular pain. Physical exam showed a tender left testicle and epididymis with mild swelling. Doppler and contrast enhanced ultrasound revealed a heterogeneous, avascular lesion with hyper vascularized surrounding. Follow-up contrast enhanced ultrasound performed a few days later showed persistence of the sparsely vascularized lesion with more hypoechoic echo structure.Despite the tumor markers being negative, a necrotic tumor could not be ruled out and a left orchiectomy was performed. Pathology report described an extensive segmental testicular infarction with no evidence of malignant tissue.We present the ultrasound and pathology findings, differential diagnostic pearls and clinical perspective of segmental testicular infarction.http://www.sciencedirect.com/science/article/pii/S1930043321006683Testicular ultrasoundConservative managementContrast Enhanced UltrasoundAcute scrotumTesticular abscessBurned-out testicular tumor |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mònica Roser Peradejordi Font, MD Daniel Vas, MD Isabel Trias Puigsureda, MD Julián Manuel Moreno Rojas, MD María José Ribal Caparrós, MD PhD Carlos Nicolau Molina, MD PhD |
spellingShingle |
Mònica Roser Peradejordi Font, MD Daniel Vas, MD Isabel Trias Puigsureda, MD Julián Manuel Moreno Rojas, MD María José Ribal Caparrós, MD PhD Carlos Nicolau Molina, MD PhD The role of contrast enhanced ultrasound in the differential diagnosis of segmental testicular infarction Radiology Case Reports Testicular ultrasound Conservative management Contrast Enhanced Ultrasound Acute scrotum Testicular abscess Burned-out testicular tumor |
author_facet |
Mònica Roser Peradejordi Font, MD Daniel Vas, MD Isabel Trias Puigsureda, MD Julián Manuel Moreno Rojas, MD María José Ribal Caparrós, MD PhD Carlos Nicolau Molina, MD PhD |
author_sort |
Mònica Roser Peradejordi Font, MD |
title |
The role of contrast enhanced ultrasound in the differential diagnosis of segmental testicular infarction |
title_short |
The role of contrast enhanced ultrasound in the differential diagnosis of segmental testicular infarction |
title_full |
The role of contrast enhanced ultrasound in the differential diagnosis of segmental testicular infarction |
title_fullStr |
The role of contrast enhanced ultrasound in the differential diagnosis of segmental testicular infarction |
title_full_unstemmed |
The role of contrast enhanced ultrasound in the differential diagnosis of segmental testicular infarction |
title_sort |
role of contrast enhanced ultrasound in the differential diagnosis of segmental testicular infarction |
publisher |
Elsevier |
series |
Radiology Case Reports |
issn |
1930-0433 |
publishDate |
2021-12-01 |
description |
A 43-year-old male presented to the emergency department with acute left testicular pain. Physical exam showed a tender left testicle and epididymis with mild swelling. Doppler and contrast enhanced ultrasound revealed a heterogeneous, avascular lesion with hyper vascularized surrounding. Follow-up contrast enhanced ultrasound performed a few days later showed persistence of the sparsely vascularized lesion with more hypoechoic echo structure.Despite the tumor markers being negative, a necrotic tumor could not be ruled out and a left orchiectomy was performed. Pathology report described an extensive segmental testicular infarction with no evidence of malignant tissue.We present the ultrasound and pathology findings, differential diagnostic pearls and clinical perspective of segmental testicular infarction. |
topic |
Testicular ultrasound Conservative management Contrast Enhanced Ultrasound Acute scrotum Testicular abscess Burned-out testicular tumor |
url |
http://www.sciencedirect.com/science/article/pii/S1930043321006683 |
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