[Testicular infarct simulating a neoplasms].

OBJECTIVE

The diagnosis of torsion of the spermatic pedicle is primarily clinical, despite the reports concerning the utility of complementary studies. A case of testicular infarct is described herein.

METHODS

A 22-year-old patient consulted for swelling and pain referred to the left testicle. Scrotal ultrasound revealed hypoechoic areas alternating with hyperechoic areas and thickening of adjacent scrotal tissue. These non-specific findings suggested a misleading diagnosis of a tumor. The patient was submitted to radical orchidectomy.

CONCLUSIONS

Scrotal ultrasonography can be misleading in cases of chronic testicular torsion. In equivocal cases, early surgical exploration may be required to discard testicular torsion and unnecessary orchidectomy.