Ernst Simone, Saar Matthias, Brenneis Horst, Kubale Reinhard, Ueberdiek Stefan, Ohlmann Carsten-Henning, Stoeckle Michael, Heinzelbecker Julia
Department of Urology, Saarland University Medical Center, Homburg/Saar, Germany.
Urol Int. 2018;101(1):114-116. doi: 10.1159/000464411. Epub 2017 Mar 24.
The incidence of segmental testicular infarction (STI) is very low. Such a disorder most often affects young men. The most common symptom is sudden testicular pain. We report 6 cases of men diagnosed with STI. Clinical examination, blood test, urine analysis, and ultrasound examination with colour Doppler were performed. Furthermore, tissue sonoelastography or MRI was performed in selected patients. All men underwent surgical exploration. In all but one man, the affected testis was preserved. Although STI is a rare condition, it should be taken into account if testicular pain prior to suspicious ultrasound imaging occurs. To be aware of this benign testicular pathology and its clinical and imaging features is important to avoid unnecessary orchiectomies in young patients.
节段性睾丸梗死（STI）的发病率非常低。这种疾病最常影响年轻男性。最常见的症状是突发性睾丸疼痛。我们报告了6例被诊断为STI的男性病例。进行了临床检查、血液检测、尿液分析以及彩色多普勒超声检查。此外，对部分患者进行了组织弹性成像或磁共振成像检查。所有男性均接受了手术探查。除1例患者外，其余患者的患侧睾丸均得以保留。尽管STI是一种罕见病症，但如果在可疑超声成像之前出现睾丸疼痛，就应予以考虑。了解这种良性睾丸病变及其临床和影像学特征，对于避免在年轻患者中进行不必要的睾丸切除术非常重要。
