Testicular Infarction: Causes & Reasons

Possible Causes for Testicular Infarction

Bilateral segmental testicular infarction. ScientificWorldJournal 2007 ;7: 779 – 783. Google Scholar 204. Jordan, GH. Segmental hemorrhagic infarct of testicle. [doi.org]

Histological examination confirmed the diagnosis of testicular infarction secondary to testicular torsion. [jpss.eu]

Here we present a review of testicular torsion and infarction, including theories about their pathogenesis and the appropriate handling by the diagnostic pathologist. [ncbi.nlm.nih.gov]

Testicular Injury

Testicular rupture and testicular ischemia/infarct are two severe complications which need to be ruled out. [radiopaedia.org]

Segmental testicular infarction Segmental testicular infarction ( Figure 7 ) is an infrequent finding in patients with acute testicular pain. [birpublications.org]

■ Testicular infarction In the past, radionuclide scintigraphy was utilized to assess testicular perfusion in patients with suspected testicular infarction. [openaccessjournals.com]

Testicular Abscess

infarct Syphilis Testis usually involved first Discrete gummas contribute to enlarged, irregular testis Gummas: diffuse interstitial inflammation with edema, lymphocytes [pathologyoutlines.com]

infarction due to compressive hydrocele or hernia Testicular infarction due to other vascular insult (cord injury,thrombosis) Trauma: Testicular rupture Intratesticular hematoma [auanet.org]

testicular cancer, tuberculosis, and fungal epididymitis. [cdc.gov]

Mumps Orchitis

Orchitis can also lead to infertility, scrotal abscess or fistula, or problems with blood flow to the testicles (testicular infarction). [menshealth.about.com]

Other potential complications include: Chronic epididymitis Death of testicle tissue (testicular infarction) Fistula on the skin of the scrotum (cutaneous scrotal fistula) [nlm.nih.gov]

One-third of boys who get orchitis from the mumps virus go on to have shrinkage of one or both of the testicles (testicular atrophy). [menshealth.about.com]

Epididymitis

Testicular Infarction in the Presence of Epididymitis: An Anatomo Clinical Continuum? [scitechnol.com]

Although testicular infarction from epididymitis is rare, it should be considered as a complication of severe or unresolving epididymitis. [ncbi.nlm.nih.gov]

One of the most catastrophic complications is testicular infarction, which is thought to occur due to inflammation and edema resulting in compression of the testicular vein [hindawi.com]

Orchitis

Few case reports and case series have been written highlighting acute testicular infarcts progressing from routine epididymal and testicular infections. [academic.oup.com]

Testicular tumor – Usually painless unless there is concomitant testicular infarction. Diagnosis can be made by ultrasound. [visualdx.com]

Early diagnosis and management are essential, as serious complications can include abscess formation, testicular infarction and infertility. [ncbi.nlm.nih.gov]

Orchitis and Epididymitis

One of the most catastrophic complications is testicular infarction, which is thought to occur due to inflammation and edema resulting in compression of the testicular vein [hindawi.com]

Few case reports and case series have been written highlighting acute testicular infarcts progressing from routine epididymal and testicular infections. [ncbi.nlm.nih.gov]

Radiologic findings of segmental testicular infarction. Am J Roentgenol 2005 ; 184 : 1587 – 93. 4. [academic.oup.com]

Acute Epididymitis

Herein, we reported a case of testicular infarction in a patient with Klebsiella oxytoca induced acute epididymitis. [ncbi.nlm.nih.gov]

A case of acute epididymitis evolved into testicular infarction. Scrotal scintigraphy identified the initial epididymitis and subsequent evolution into infarction. [ncbi.nlm.nih.gov]

One of the most catastrophic complications is testicular infarction, which is thought to occur due to inflammation and edema resulting in compression of the testicular vein [hindawi.com]

Torsion of the Hydatid of Morgagni

Early diagnosis, prompt treatment, and preventive measures are important to avoid testicular infarction. [link.springer.com]

Definition / general May cause testicular infarct if not treated quickly Usually occurs in first year of life, also towards puberty due to trauma or violent movement Associated [pathologyoutlines.com]

[…] hemorrhagic infarction and coagulative necrosis Later granulation tissue; years later may see fibrosis and calcification Differential diagnosis Testicular pain due to Henoch-Schönlein [pathologyoutlines.com]

Torsion of Appendix Epididymis

Dark colour Early surgical consult is vital – delay in exploration and detorsion will result in testicular infarction in 8-12 hours. Clear fluids until Surgical Review. [rch.org.au]

infarction due to compressive hydrocele or hernia Testicular infarction due to other vascular insult (cord injury,thrombosis) Trauma: Testicular rupture Intratesticular hematoma [auanet.org]

Spermatic Cord Injury

Key words: testicular infarction; epididymitis; spinal cord injury; neurogenic bladder. [medicaljournals.se]

Testicular Infarction Post Inguinal Hernia Repair: Would a laparoscopic approach have helped reduce the risk? [casereports.in]

[…] hemorrhage Testicular infarction Testicular thrombosis Thrombosis of scrotum Thrombosis of spermatic cord Thrombosis of testis Vascular disorder of scrotum Applies To Hematoma [icd9data.com]

Scrotal Abscess

If the scrotal skin is light, the blue dot sign of an infarcted testicular or epididymal appendage may be seen. [urologyweb.com]

infarction due to compressive hydrocele or hernia Testicular infarction due to other vascular insult (cord injury,thrombosis) Trauma: Testicular rupture Intratesticular hematoma [auanet.org]

Idiopathic testicular infarction probably represents a spontaneous detorsion. Ruptured varicocele and scrotal hemangioma have also been described. [urologyweb.com]

Idiopathic Scrotal Edema

Dark colour Early surgical consult is vital – delay in exploration and detorsion will result in testicular infarction in 8-12 hours. Clear fluids until Surgical Review. [rch.org.au]

Management Early surgical consultation is vital, as delay in scrotal exploration and detorsion of a torted testis will result in testicular infarction within 8-12 hours. [emed.ie]

If the scrotal skin is light, the blue dot sign of an infarcted testicular or epididymal appendage may be seen. [urologyweb.com]

Phosphorus Poisoning

Phosphorus poisoning (PP) occurs after accidental exposure to white (also synonymously termed yellow) phosphorus. This compound can have mild effects like affecting the skin upon direct contact or the eyes in case of white phosphorus gas. Further possibilities include inhalation of white phosphorus and its[…] [symptoma.com]

Male Hematocele

[…] gonadoblastoma testicular infarct Testicular Injury Testicular Microlithiasis Testicular Neoplasms + Testis Reperfusion Injury Uterine Hemorrhage + [rgd.mcw.edu]

Testicular rupture Testicular rupture is seen as focal alterations of testicular echogenicity correlating with areas of intratesticular hemorrhage or infarction in a patient [radiologyassistant.nl]

Tunica Vaginalis Hydrocele

[…] torsion testicular neoplasm testicular infarction 6 Ultrasound Ultrasound is the first modality usually used to evaluate hydrocele, which presents as a simple fluid collection [radiopaedia.org]

[…] funiculocele) communicates with the peritoneum at the internal ring and does not surround the testis more common in children and premature infants 2 Acquired trauma epididymitis testicular [radiopaedia.org]

Dark colour Early surgical consult is vital – delay in exploration and detorsion will result in testicular infarction in 8-12 hours. Clear fluids until Surgical Review. [rch.org.au]

Orthostatic Intolerance due to NET Deficiency

References Answer Complications associated with acute epididymitis and bacterial orchitis include the following: Scrotal abscess and pyocele Testicular infarction: Cord swelling [medscape.com]

infarction, abscess) unable or unlikely to comply with antimicrobial regimen high fever. [sahealth.sa.gov.au]

testicular cancer, tuberculosis, and fungal epididymitis. [cdc.gov]

Hydrocele

[…] funiculocele): communicates with the peritoneum at the internal ring and doesn't surround the testis more common in children and premature infants 2 Acquired trauma epididymitis testicular [radiopaedia.org]

Orchiectomy

Histological examination revealed testicular infarction with no presence of neoplastic cells. [ncbi.nlm.nih.gov]

The indications for simple orchidectomy are: Unsalvageable testicular trauma Severe recurrent or chronic testicular pain Testicular infarction (e.g., following testicular [link.springer.com]

Pathology revealed infarcted testicular parenchyma. [pssjournal.biomedcentral.com]

Funiculitis

Rarely, epididymal abscess, scrotal extra-epididymal abscess, pyocele (accumulation of pus within a hydrocele), or testicular infarction occurs. [msdmanuals.com]

Pulse Doppler of intra testicular vessels shows low resistance flow pattern (arrow) and increased PSV. Figure 28 10D.Testicular infarct. [ispub.com]

Testicular Fibroma

Other authors have used MRI findings to distinguish benign epidermoid cysts and testicular infarcts from testicular malignant tumors by showing a lack of enhancement of the [ajronline.org]

Magnetic resonance imaging to diagnose segmental testicular infarction. J Urol 2000; 163:910 –911 [Google Scholar] 6. Cho JH, Chang JC, Park BH, Lee JG, Son CH. [ajronline.org]

malignant testicular tumors had increased contrast enhancement compared with contralateral normal testicular parenchyma. [ajronline.org]

Platelet-Type von Willebrand Disease

Cancer Testicular Infarct Testicular Torsion Thalassemia Thrombasthenia Thrombocythemia 1 Thrombocytopenia Thrombocytopenia 3 Thrombocytopenia-Absent Radius Syndrome Thrombocytopenia [eutopia.school]

Syphilis Syphilitic Meningitis Systemic Lupus Erythematosus Systemic Lupus Erythematosus 5 Takayasu Arteritis T-Cell Leukemia T-Cell Prolymphocytic Leukemia Temporal Arteritis Testicular [eutopia.school]

Testicular Regression Syndrome

infarct, infection, trauma, torsion or prenatal hormone induced atrophy due to overproduction of androgens Microscopic (histologic) description Regressed testis indicated [pathologyoutlines.com]

Burge DM (1987) Neonatal testicular torsion and infarction: aetiology and management. Br J Urol 59: 70–73 Google Scholar 4. Honore LH (1978) Unilateral anorchism. [link.springer.com]

The testicular infarction may cause hemosiderin deposits and dystrophic calcification, as reported in one study. [4] Certain cases of bilateral anorchia have other members [ijem.in]

Testicular Microlithiasis

Associations testicular germ cell tumor Klinefelter syndrome cryptorchidism testicular infarct testicular granulomatous disease infertility Down syndrome alveolar microlithiasis [radiopaedia.org]

Two types of testicular calcifications have been described: hematoxylin bodies and lamellated calcifications. [ajronline.org]

View larger version (266K) Fig. 1B —54-year-old man seen in emergency department for testicular pain of 6 months' duration. [ajronline.org]

Male Periurethral Cellulitis

infarction due to compressive hydrocele or hernia Testicular infarction due to other vascular insult (cord injury,thrombosis) Trauma: Testicular rupture Intratesticular hematoma [auanet.org]

While prolonged testicular ischemia due to torsion can lead to global testicular infarction, segmental infarction may result from embolic sources and focal vascular injury [appliedradiology.com]

[…] the testicular parenchyma must be present to exclude torsion ( Fig. 20-13 ). [radiologykey.com]

Adenomatoid Tumor

Other authors have used MRI findings to distinguish benign epidermoid cysts and testicular infarcts from testicular malignant tumors by showing a lack of enhancement of the [ajronline.org]

Magnetic resonance imaging to diagnose segmental testicular infarction. J Urol 2000; 163:910 –911 [Google Scholar] 6. Cho JH, Chang JC, Park BH, Lee JG, Son CH. [ajronline.org]

[…] series, malignant testicular tumors had increased contrast enhancement compared with contralateral normal testicular parenchyma. [ajronline.org]

Cholesterol Embolism

This is the first report to describe cholesterol embolism-associated segmental testicular infarction. [ncbi.nlm.nih.gov]

infarction due to cholesterol embolism: not the first case, but the first report. ( 18844943 ) Adachi S....Yamaguchi S. 2008 16 Cholesterol embolism evaluated by polarized [malacards.org]

Reported herein is a very rare case of segmental testicular infarction due to atheroembolism in a 58-year-old man. [ncbi.nlm.nih.gov]

Testicular Atrophy

The group of infants less than 1 month of age with symptoms for more than 24 hours and with ileus is the highest risk group for testicular infarction at the time of incarceration [ncbi.nlm.nih.gov]

1.1 cm), calcification, hemosiderin Patient has only rudimentary epididymis and spermatic cord with vas deferens Possibly due to testicular infarct ( Histopathology 1991; [pathologyoutlines.com]

Terminology Testicular regression syndrome : Affects 5% with cryptorchidism ( Arch Pathol Lab Med 2000;124:694 ) Testicular tissue is replaced by fibrovascular nodule (mean [pathologyoutlines.com]

Acute Pelvic Cellulitis

infarction due to compressive hydrocele or hernia Testicular infarction due to other vascular insult (cord injury,thrombosis) Trauma: Testicular rupture Intratesticular hematoma [auanet.org]

Furthermore, advanced epididymoorchitis can result in testicular ischemia and infarction due to compression of the testicular vasculature from epididymal inflammation. [auanet.org]

Oropharyngeal Carcinoma

Other potential complications include: Chronic epididymitis Death of testicle tissue (testicular infarction) Fistula on the skin of the scrotum (cutaneous scrotal fistula) [medlineplus.gov]

infarction, abscess) unable or unlikely to comply with antimicrobial regimen high fever. [sahealth.sa.gov.au]

Scrotal abscess Acute pain in the scrotum or testicles can be caused by twisting of the testicular blood vessels (torsion). [medlineplus.gov]