Archivos espanoles de urologia · 1998
[Testicular infarct simulating a neoplasms].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Medina Pérez M, Sánchez González M
Аннотация
OBJECTIVE: The diagnosis of torsion of the spermatic pedicle is primarily clinical, despite the reports concerning the utility of complementary studies. A case of testicular infarct is described herein.
METHODS: A 22-year-old patient consulted for swelling and pain referred to the left testicle. Scrotal ultrasound revealed hypoechoic areas alternating with hyperechoic areas and thickening of adjacent scrotal tissue. These non-specific findings suggested a misleading diagnosis of a tumor. The patient was submitted to radical orchidectomy.
CONCLUSIONS: Scrotal ultrasonography can be misleading in cases of chronic testicular torsion. In equivocal cases, early surgical exploration may be required to discard testicular torsion and unnecessary orchidectomy.
METHODS: A 22-year-old patient consulted for swelling and pain referred to the left testicle. Scrotal ultrasound revealed hypoechoic areas alternating with hyperechoic areas and thickening of adjacent scrotal tissue. These non-specific findings suggested a misleading diagnosis of a tumor. The patient was submitted to radical orchidectomy.
CONCLUSIONS: Scrotal ultrasonography can be misleading in cases of chronic testicular torsion. In equivocal cases, early surgical exploration may be required to discard testicular torsion and unnecessary orchidectomy.