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Segmental Infarction
Bryan R. Foster, MD; Mitchell Tublin, MD
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Definitions

            • Localized testicular infarct

          IMAGING

          • General Features

            • MR Findings

              • Ultrasonographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Alexander LF et al: Absent, abnormal, or reduced flow in the testis: thinking beyond torsion. Radiographics. 40(2):529-30, 2020
                                    2. Ramjit A et al: Complete testicular infarction secondary to epididymoorchitis and pyocele. Radiol Case Rep. 15(4):420-3, 2020
                                    3. Sweet DE et al: Imaging of the acute scrotum: keys to a rapid diagnosis of acute scrotal disorders. Abdom Radiol. 45(7):2063-81, 2020
                                    4. Bertolotto M et al: Multiparametric US for scrotal diseases. Abdom Radiol (NY). 43(4):899-917, 2018
                                    5. Marko J et al: Testicular seminoma and its mimics: from the radiologic pathology archives. Radiographics. 37(4):1085-98, 2017
                                    6. Bertolotto M et al: Pitfalls in Imaging for Acute Scrotal Pathology. Semin Roentgenol. 51(1):60-9, 2016
                                    7. Chang CD et al: Acute Epididymo-orchitis-Related Global Testicular Infarction: Clinical and Ultrasound Findings With an Emphasis on the Juxta-epididymal String-of-Bead Sign. Ultrasound Q. 32(3):283-9, 2016
                                    8. Lyon TD et al: Segmental testicular infarction due to minocycline-induced antineutrophil cytoplasmic antibody--positive vasculitis. Urology. 84(1):e1-2, 2014
                                    9. Aquino M et al: Segmental testicular infarction: sonographic findings and pathologic correlation. J Ultrasound Med. 32(2):365-72, 2013
                                    10. Saxon P et al: Segmental testicular infarction: report of seven new cases and literature review. Emerg Radiol. 19(3):217-23, 2012
                                    11. Bertolotto M et al: Acute segmental testicular infarction at contrast-enhanced ultrasound: early features and changes during follow-up. AJR Am J Roentgenol. 196(4):834-41, 2011
                                    12. Madaan S et al: Segmental testicular infarction: conservative management is feasible and safe. Eur Urol. 53(2):441-5, 2008
                                    13. Bilagi P et al: Clinical and ultrasound features of segmental testicular infarction: six-year experience from a single centre. Eur Radiol. 17(11):2810-8, 2007
                                    14. Calcagno C et al: Segmental testicular infarction following herniorrhaphy and varicocelectomy. Urol Int. 79(3):273-5, 2007
                                    15. Secil M et al: Segmental testicular infarction as a complication of varicocelectomy: sonographic findings. J Clin Ultrasound. 34(3):143-5, 2006
                                    16. Fernández-Pérez GC et al: Radiologic findings of segmental testicular infarction. AJR Am J Roentgenol. 184(5):1587-93, 2005
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Clinical Issues

                                          • Diagnostic Checklist

                                            TERMINOLOGY

                                            • Definitions

                                              • Localized testicular infarct

                                            IMAGING

                                            • General Features

                                              • MR Findings

                                                • Ultrasonographic Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Gross Pathologic & Surgical Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Alexander LF et al: Absent, abnormal, or reduced flow in the testis: thinking beyond torsion. Radiographics. 40(2):529-30, 2020
                                                                      2. Ramjit A et al: Complete testicular infarction secondary to epididymoorchitis and pyocele. Radiol Case Rep. 15(4):420-3, 2020
                                                                      3. Sweet DE et al: Imaging of the acute scrotum: keys to a rapid diagnosis of acute scrotal disorders. Abdom Radiol. 45(7):2063-81, 2020
                                                                      4. Bertolotto M et al: Multiparametric US for scrotal diseases. Abdom Radiol (NY). 43(4):899-917, 2018
                                                                      5. Marko J et al: Testicular seminoma and its mimics: from the radiologic pathology archives. Radiographics. 37(4):1085-98, 2017
                                                                      6. Bertolotto M et al: Pitfalls in Imaging for Acute Scrotal Pathology. Semin Roentgenol. 51(1):60-9, 2016
                                                                      7. Chang CD et al: Acute Epididymo-orchitis-Related Global Testicular Infarction: Clinical and Ultrasound Findings With an Emphasis on the Juxta-epididymal String-of-Bead Sign. Ultrasound Q. 32(3):283-9, 2016
                                                                      8. Lyon TD et al: Segmental testicular infarction due to minocycline-induced antineutrophil cytoplasmic antibody--positive vasculitis. Urology. 84(1):e1-2, 2014
                                                                      9. Aquino M et al: Segmental testicular infarction: sonographic findings and pathologic correlation. J Ultrasound Med. 32(2):365-72, 2013
                                                                      10. Saxon P et al: Segmental testicular infarction: report of seven new cases and literature review. Emerg Radiol. 19(3):217-23, 2012
                                                                      11. Bertolotto M et al: Acute segmental testicular infarction at contrast-enhanced ultrasound: early features and changes during follow-up. AJR Am J Roentgenol. 196(4):834-41, 2011
                                                                      12. Madaan S et al: Segmental testicular infarction: conservative management is feasible and safe. Eur Urol. 53(2):441-5, 2008
                                                                      13. Bilagi P et al: Clinical and ultrasound features of segmental testicular infarction: six-year experience from a single centre. Eur Radiol. 17(11):2810-8, 2007
                                                                      14. Calcagno C et al: Segmental testicular infarction following herniorrhaphy and varicocelectomy. Urol Int. 79(3):273-5, 2007
                                                                      15. Secil M et al: Segmental testicular infarction as a complication of varicocelectomy: sonographic findings. J Clin Ultrasound. 34(3):143-5, 2006
                                                                      16. Fernández-Pérez GC et al: Radiologic findings of segmental testicular infarction. AJR Am J Roentgenol. 184(5):1587-93, 2005