The role of contrast enhanced ultrasound in the differential diagnosis of segmental testicular infarction.
| Autor: | Peradejordi Font MR; Department of Urology, Hospital Clínic de Barcelona, Spain., Vas D; Department of Radiology, Hospital Clínic de Barcelona, Spain., Trias Puigsureda I; Department of Pathology, Hospital Clínic de Barcelona, Spain., Moreno Rojas JM; Department of Radiology, Hospital Clínic de Barcelona, Spain., Ribal Caparrós MJ; Department of Urology, Hospital Clínic de Barcelona, Spain., Nicolau Molina C; Department of Radiology, Hospital Clínic de Barcelona, Spain. |
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| Jazyk: | angličtina |
| Zdroj: | Radiology case reports [Radiol Case Rep] 2021 Oct 07; Vol. 16 (12), pp. 3815-3820. Date of Electronic Publication: 2021 Oct 07 (Print Publication: 2021). |
| DOI: | 10.1016/j.radcr.2021.09.021 |
| Abstrakt: | A 43-year-old male presented to the emergency department with acute left testicular pain. Physical exam showed a tender left testicle and epididymis with mild swelling. Doppler and contrast enhanced ultrasound revealed a heterogeneous, avascular lesion with hyper vascularized surrounding. Follow-up contrast enhanced ultrasound performed a few days later showed persistence of the sparsely vascularized lesion with more hypoechoic echo structure. Despite the tumor markers being negative, a necrotic tumor could not be ruled out and a left orchiectomy was performed. Pathology report described an extensive segmental testicular infarction with no evidence of malignant tissue. We present the ultrasound and pathology findings, differential diagnostic pearls and clinical perspective of segmental testicular infarction. (© 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington.) |
| Databáze: | MEDLINE |
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