Testicular Infarction. Case Report and Review of the Literature

Testicular infarction is a rare pathology whose etiology has not yet been identified. The main presenting symptom is severe testicular pain in the absence of trauma or torsion, often simulating a tumor, but tumor markers are normal and urine is sterile. Ultrasonography shows a hypoechogenic area, which on Doppler is avascular. Magnetic resonance imaging (MRI) remains the diagnostic tool of choice. Treatment usually consists of orchidectomy. In case of segmental testicular infarction a resection of the segment in question can be done instead. The authors report on a case of segmental testicular infarction for which they propose a policy of watchful waiting.