Fact-sheet: Testicular infarction


Updated on 03/26/2020 at 1:41 PM

Note : 0/10

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Definition

Rare condition that occurs more often in patients at risk for vascular thrombosis, or as a complication of orchiepididymitis, trauma, or rarely after inguinal hernia repair.

Clinical features

Pain

Ultrasound

B-mode: poorly defined hypoechoic area, or geographic map-like pattern.
Power Doppler: decreased signal.

MRI

On a semi-urgent basis:
T2: crescent-shaped hyperintense area, bordered by a hypointense rim, not enhancing unlike the adjacent pulp.

Management

Surgical exploration