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Urol Ann. 2019 Jul-Sep;11(3):334-337. doi: 10.4103/UA.UA_125_18.

Segmental testicular infarction: Case series and brief literature review of a great mime.

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Department of Urology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
University of Milan, Milan, Italy.


Segmental testicular infarction is rare, and the etiology is mostly idiopathic. We report a case series of four young patients, one of them with metachronous bilateral disease, presenting with an acute scrotum and treated with a testis-sparing approach, if feasible, after a negative intraoperative biopsy. Etiology, differential diagnosis, and management are reviewed. To be aware of clinical and imaging features of this benign testicular pathology, it is crucial to avoid unnecessary orchiectomies to preserve vital testicular tissue left.


Acute scrotum; testicular hemorrhage; testicular infarction; testicular pathologies; testis-sparing surgery

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