Document Detail


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 :
1941146 - Safety of dipyridamole-thallium imaging in high risk patients with known or suspected c...
6889206 - Noninvasive testing in coronary artery disease. selection of procedures and interpretat...
16615676 - Renal infarction during the use of rizatriptan and zolmitriptan: two case reports.
21105556 - Electrocardiograph and chest x-ray in prediction of left ventricular systolic dysfunction.
19555836 - Cardiac rehabilitation and survival in older coronary patients.
24335026 - Protective effect of metformin on myocardial injury in metabolic syndrome patients foll...
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?