Segmental testicular infarction is a rare condition that often can be recognized based on the clinical presentation and imaging studies.
Presentation:
(1)
lower abdominal and/or testicular pain
(2) testicular tenderness on palpation
(3) testicular mass (pseudotumor)
Causes may include:
(1
) polycythemia
(2) sickle cell anemia
(3) acute epididymitis
(4) autoimmune vasculitis
(5) surgery or trauma
(6) diabetes mellitus
(7) torsion with detorsion
Detection of altered blood flow to a defined vascular territory can be seen on imaging studies, especially color-flow Doppler ultrasonography.
Differential diagnosis:
(1) testicular tumor (mass lesion)
(2) orchitis or testicular abscess (not limited to a defined vascular territory)
(3) complete testicular infarction (not limited to a defined vascular territory)
