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British Journal of Radiology 74 (2001),965-967 © 2001 The British Institute of Radiology

Case report

Acute segmental testicular infarction: differentiation from tumour using high frequency colour Doppler ultrasound

S Sriprasad, FRCS, MSc(Urol)1, G G Kooiman, MBBS, FRCS1, G H Muir, FRCS(Ed), FRCS(Urol)1 and P S Sidhu, BSc, MRCP, FRCR2

Departments of 1Urology and 2Radiology, Kings College Hospital, Denmark Hill, London SE5 9RS, UK

Correspondence: Dr Paul S Sidhu

Segmental testicular infarction is rare, of variable aetiology but usually idiopathic. B-mode ultrasound may demonstrate a focal mass indistinguishable from a testicular tumour, with confirmation only achieved following surgery. We report a case of segmental testicular infarction presenting as a heterogeneous mass on B-mode ultrasound, confidently diagnosed as an area of infarction on high frequency colour Doppler ultrasound and proven on histology. The pre-operative differentiation of tumour from segmental infarction allows testis-sparing surgery.




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