Date of Presentation
5-5-2022 12:00 AM
College
School of Osteopathic Medicine
Poster Abstract
We report a case of a 45-year-old male who presented to the Emergency Department with acute onset left testicular pain and was diagnosed with left sided segmental testicular infarction. The differential diagnosis of acute onset testicular/scrotal pain can include critical urological diagnoses such as testicular torsion and testicular tumors. In the absence of global flow disruption on ultrasound Doppler, emergent surgical intervention is not needed. While ultrasound aids in the Emergency Department’s management of acute testicular pain, it does not rule out the need for an additional outpatient work-up or imaging. Conservative management with pain control, outpatient scrotal MRI, and close urology follow up is likely all that is required for management of segmental testicular infarction in the Emergency Department.
Keywords
Testicular Diseases, Male Genitalia, Segmental Testicular Infarction, Pain
Disciplines
Emergency Medicine | Male Urogenital Diseases | Medicine and Health Sciences | Pathological Conditions, Signs and Symptoms | Urology
Document Type
Poster
Included in
Emergency Medicine Commons, Male Urogenital Diseases Commons, Pathological Conditions, Signs and Symptoms Commons, Urology Commons
Case Report: Segmental Testicular Infarction
We report a case of a 45-year-old male who presented to the Emergency Department with acute onset left testicular pain and was diagnosed with left sided segmental testicular infarction. The differential diagnosis of acute onset testicular/scrotal pain can include critical urological diagnoses such as testicular torsion and testicular tumors. In the absence of global flow disruption on ultrasound Doppler, emergent surgical intervention is not needed. While ultrasound aids in the Emergency Department’s management of acute testicular pain, it does not rule out the need for an additional outpatient work-up or imaging. Conservative management with pain control, outpatient scrotal MRI, and close urology follow up is likely all that is required for management of segmental testicular infarction in the Emergency Department.