Acute Global Testicular Infarction Post-EVAR from Cholesterol Embolisation can be Mistaken for Torsion

T. Pathmarajah, M. Abdelhamid, A. S. Tenna, D. J.W. Paton, J. A. Hockley, S. Jansen

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Introduction Endovascular aneurysm repair (EVAR) is the most commonly used approach for treatment of abdominal aortic aneurysms (AAA). Testicular infarction is a rare complication of EVAR. A novel case of acute global testicular infarction post-EVAR from cholesterol embolisation mimicking torsion is presented. Report A 75 year old man developed acute right testicular ischaemia requiring orchidectomy following EVAR of an infrarenal aortic aneurysm. The patient was initially diagnosed with testicular torsion as the aetiology of the infarction; however, on re-analysis of histopathology it was found to be secondary to cholesterol emboli. Discussion In patients complaining of groin/scrotal pain following EVAR, it is worth considering testicular ischaemia whether secondary to cholesterol embolisation or gonadal occlusion. Clinicians should be aware that clinical and radiological findings can mimic torsion as this affects management and outcome.

Original languageEnglish
Pages (from-to)11-15
Number of pages5
JournalEJVES Short Reports
Volume35
DOIs
Publication statusPublished - 2017

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