Saxon Penny, Badler Ruth L, Desser Terry S, Tublin Mitchell E, Katz Douglas S
Department of Radiology, Winthrop-University Hospital, 259 First Street, Mineola, NY 11501-3987, USA.
Emerg Radiol. 2012 Jun;19(3):217-23. doi: 10.1007/s10140-011-0999-7. Epub 2012 Jan 18.
Segmental testicular infarction is a relatively rare acute or subacute condition which is infrequently thought of in the differential diagnosis for testicular pain. However, missing or misdiagnosing this entity on clinical evaluation and/or imaging has significant implications for patients as they may undergo unnecessary surgery for suspected testicular torsion or tumor. Knowledge and recognition of the features of segmental testicular infarction on ultrasound and MRI will aid in the diagnosis of this disease early in the patient's course. The common imaging features of segmental testicular infarction and the clinical literature are reviewed, with an emphasis on ultrasound, utilizing seven recent cases from three institutions.
节段性睾丸梗死是一种相对罕见的急性或亚急性病症,在睾丸疼痛的鉴别诊断中很少被考虑到。然而,在临床评估和/或影像学检查中漏诊或误诊这一病症,对患者具有重大影响,因为他们可能会因疑似睾丸扭转或肿瘤而接受不必要的手术。了解并认识超声和磁共振成像(MRI)上节段性睾丸梗死的特征,将有助于在患者病程早期诊断此病。本文回顾了节段性睾丸梗死的常见影像学特征及临床文献,重点是超声检查,并引用了来自三个机构的七例近期病例。