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Article
Segmental Testicular Infarction Sonographic Findings and Pathologic Correlation
Journal of Ultrasound in Medicine (2013)
  • Michael Aquino, Oakland University
  • Michael Aquino, Beaumont Health
  • Hanh Nghiem, Oakland University
  • Hanh Nghiem, Beaumont Health
  • Syed Zafar Jafri, Oakland University
  • Syed Zafar Jafri, Beaumont Health
  • John Schwartz, Oakland University
  • John Schwartz, Beaumont Health
  • Rajwant Malhotra, Oakland University
  • Rajwant Malhotra, Beaumont Health
  • Mitual Amin, Oakland University
  • Mitual Amin, Beaumont Health
Abstract
Segmental testicular infarction can mimic testicular carcinoma on sonography and can lead to unnecessary orchiectomy. This case series describes and correlates sonographic and histologic findings of 7 pathologically proven segmental testicular infarction cases. Segmental testicular infarction should be suspected on sonography when a geographic lesion with low or mixed echogenicity has absent or near-absent flow in a patient with scrotal pain. A hyperechoic rim and peripheral hyperemia correspond to interstitial hemorrhage and inflammatory changes. As an infarct evolves, it becomes more discrete and hypoechoic as ghost outlines replace seminiferous tubules. Follow-up or contrast-enhanced magnetic resonance imaging or sonography can increase diagnostic confidence in suspected cases and prevent unnecessary orchiectomy.
Disciplines
Publication Date
February 1, 2013
DOI
10.7863/jum.2013.32.2.365
Citation Information
Michael Aquino, Michael Aquino, Hanh Nghiem, Hanh Nghiem, et al.. "Segmental Testicular Infarction Sonographic Findings and Pathologic Correlation" Journal of Ultrasound in Medicine Vol. 32 Iss. 2 (2013) p. 365 - 372
Available at: http://works.bepress.com/john-schwartz/2/