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Case Rep Emerg Med. 2014;2014:591820. doi: 10.1155/2014/591820. Epub 2014 Jul 9.

Acute Testicular Ischemia following Endovascular Abdominal Aortic Aneurysm Repair Identified in the Emergency Department.

Author information

1
Wexner Medical Center at The Ohio State University, Columbus, OH 43210, USA.
2
Clinical Affiliate Faculty, Department of Emergency Medicine, Wake Forest University, Winston-Salem, NC 27103, USA.
3
Clinical Department of Emergency Medicine, Wexner Medical Center at The Ohio State University, Columbus, OH 43210, USA.

Abstract

Endovascular aneurysm repair (EVAR) is perhaps the most widely utilized surgical procedure for patients with large abdominal aortic aneurysms. This procedure is minimally invasive and reduces inpatient hospitalization requirements. The case involves a 72-year-old male who presented to the emergency department with right testicular ischemia two days following EVAR. Given the minimal inpatient hospitalization associated with this procedure, emergency physicians are likely to encounter associated complications. Ischemic and thromboembolic events following EVAR are extremely rare but require prompt vascular surgery intervention to minimize morbidity and mortality.

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