Sriprasad S, Kooiman G G, Muir G H, Sidhu P S
Department of Urology, Kings College Hospital, Denmark Hill, London SE5 9RS, UK.
Br J Radiol. 2001 Oct;74(886):965-7. doi: 10.1259/bjr.74.886.740965.
Segmental testicular infarction is rare, of variable aetiology but usually idiopathic. B-mode ultrasound may demonstrate a focal mass indistinguishable from a testicular tumour, with confirmation only achieved following surgery. We report a case of segmental testicular infarction presenting as a heterogeneous mass on B-mode ultrasound, confidently diagnosed as an area of infarction on high frequency colour Doppler ultrasound and proven on histology. The pre-operative differentiation of tumour from segmental infarction allows testis-sparing surgery.
节段性睾丸梗死很少见，病因多样，但通常为特发性。B超可能显示出一个与睾丸肿瘤难以区分的局灶性肿块，只有在手术后才能确诊。我们报告一例节段性睾丸梗死病例，B超显示为不均匀肿块，高频彩色多普勒超声确诊为梗死区域，组织学检查证实。术前将肿瘤与节段性梗死区分开来有助于进行保留睾丸的手术。
