| Idiopathic testicular infarction in a boy initially suspected to have acute epididymo-orchitis associated with mycoplasma infection and Henoch-Schönlein purpura. | |
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MedLine Citation:
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PMID: 18753011 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Idiopathic testicular infarction without torsion of spermatic cord is a rare condition. We present a 12-year-old boy originally suspected of acute epididymo-orchitis, but subsequently an orchiectomy was necessary owing to unpredicted testicular infarction not associated with torsion. Elevation of immunoglobulin M against mycoplasma, reduction in serum factor XIII and the presence of sufficient blood flow detected by color Doppler ultrasonography upon initial manifestation suggested that the boy was affected by epididymo-orchitis associated with Henoch-Schönlein purpura or mycoplasma infection. However, progressive testicular enlargement was observed and subsequently testicular blood flow became barely detectable. Our case indicates that the presence of sufficient blood flow upon initial diagnosis in the affected testis does not necessarily exclude infarction and continuous monitoring of blood flow may be required to avoid radical orchiectomy. |
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Authors:
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Seiji Fukuda; Tomoo Takahashi; Koji Kumori; Yusuke Takahashi; Kenji Yasuda; Takeshi Kasai; Seiji Yamaguchi |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-08-26 |
Journal Detail:
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Title: Journal of pediatric urology Volume: 5 ISSN: 1873-4898 ISO Abbreviation: - Publication Date: 2009 Feb |
Date Detail:
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Created Date: 2009-01-26 Completed Date: 2009-05-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101233150 Medline TA: J Pediatr Urol Country: England |
Other Details:
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Languages: eng Pagination: 68-71 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Shimane University School of Medicine, Izumuo, Japan. sfukuda@med.shimane-u.ac.jp |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Anti-Bacterial Agents / therapeutic use Antibodies, Bacterial / analysis Child Diagnosis, Differential Epididymitis / complications*, therapy, ultrasonography Follow-Up Studies Humans Infarction / etiology*, surgery, ultrasonography Male Mycoplasma / immunology Mycoplasma Infections / complications*, diagnosis Orchiectomy / methods Orchitis / complications*, therapy, ultrasonography Purpura, Schoenlein-Henoch / complications*, diagnosis Testis / blood supply*, surgery, ultrasonography Ultrasonography, Doppler, Color |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents; 0/Antibodies, Bacterial |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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