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Year : 2019  |  Volume : 11  |  Issue : 3  |  Page : 334-337

Segmental testicular infarction: Case series and brief literature review of a great mime

1 Department of Urology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico; University of Milan, Milan, Italy
2 Department of Urology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy

Correspondence Address:
Dr. Franco Palmisano
Department of Urology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Via Della Commenda 15, 20122 Milan
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DOI: 10.4103/UA.UA_125_18

PMID: 31413519

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Segmental testicular infarction is rare, and the etiology is mostly idiopathic. We report a case series of four young patients, one of them with metachronous bilateral disease, presenting with an acute scrotum and treated with a testis-sparing approach, if feasible, after a negative intraoperative biopsy. Etiology, differential diagnosis, and management are reviewed. To be aware of clinical and imaging features of this benign testicular pathology, it is crucial to avoid unnecessary orchiectomies to preserve vital testicular tissue left.

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