| Acute scrotal pain with a twist. | |
| | |
MedLine Citation:
|
PMID: 20529466 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Intratesticular lesions identified on ultrasound are usually malignant. It presents a particular dilemma to the surgeon when conservative approach is considered. A 55-year-old smoker with peripheral vascular disease had attended the accident and emergency with acute left hemiscrotal pain of 24-h duration. Clinical examination revealed a swollen, tender hemiscrotum. Ultrasound had demonstrated a hypo-echoic lesion in the testis measuring 2 x 1.8 cm. This was reported as possible infarct and managed conservatively. On review after 4 weeks, the patient was still symptomatic with persistent dull pain. A repeat scan in 4 weeks showed persistence of the lesion raising the possibility of tumour. Tumour marker profile was not elevated. The patient had a radical orchidectomy and the histology showed segmental infarction of the testis with thrombosis of the segmental testicular vessels. Peripheral vascular disease can cause segmental infarction of the testis due to the end arterial blood supply; in these cases, magnetic resonance scan can be diagnostic. Once confirmed, segmental infarcts can be safely managed conservatively. |
| | |
Authors:
|
S Venugopal; D Schoeman; A Damola; B Hamid; C Powell |
Related Documents
:
|
10388496 - National academy of clinical biochemistry standards of laboratory practice: recommendat... 1531326 - Very early acute myocardial infarct treated with streptokinase and balloon angioplasty. 18366466 - Thoracic spinal cord stimulation for post-ablation cardiac pain in a patient with perma... 2497506 - The study of a case of single coronary artery using stress 201thalium single photon emi... 8597296 - Cellular distribution patterns of lanthanum and morphometry of rat hearts exposed to di... 20142176 - Compositional volumetry of non-calcified coronary plaques by multislice computed tomogr... |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2010-06-07 |
Journal Detail:
|
Title: Annals of the Royal College of Surgeons of England Volume: 92 ISSN: 1478-7083 ISO Abbreviation: Ann R Coll Surg Engl Publication Date: 2010 Jul |
Date Detail:
|
Created Date: 2010-07-14 Completed Date: 2010-08-09 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7506860 Medline TA: Ann R Coll Surg Engl Country: England |
Other Details:
|
Languages: eng Pagination: W24-6 Citation Subset: IM |
Affiliation:
|
Department of Urology, Countess of Chester NHS Trust, Chester, UK. sureshvenugopal@gmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Acute Disease Diagnosis, Differential Humans Infarction / diagnosis*, surgery Male Middle Aged Orchiectomy Pain / etiology* Scrotum* Testicular Neoplasms / diagnosis Testis / blood supply* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Complete transection of the pelvi-ureteric junction in an adult.
Next Document: Is laparotomy the unavoidable step to diagnose caecal volvulus?