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Case Reports
. 2020 May 3:32:101238.
doi: 10.1016/j.eucr.2020.101238. eCollection 2020 Sep.

Non-surgical management of methamphetamine induced testicular ischemia

Mohammed Al-Zubaidi  1 , Andrew Stuart  2 , Thilina Jayaratne  3 , Emma Marsdin  4
Affiliations
Case Reports

Non-surgical management of methamphetamine induced testicular ischemia

Mohammed Al-Zubaidi et al. Urol Case Rep. .

Abstract

A rare case of methamphetamine induced testicular ischemia, a 35-year-old man with clinical and sonographic features of left epididymitis. However, Ultrasound incidentally showed a lack of vascularity of the right testicle despite being asymptomatic on the right hemi-scrotum. He was a known intravenous methamphetamine user, admitting his last injection was 4 h prior to his presentation. The left epididymitis was treated with antibiotics, analgesia and scrotal support, while right testicle was treated conservatively with serial ultrasounds. Repeat ultrasound in 20 h confirmed the return of normal vascularity of the right testicle confirming methamphetamine induced testicular ischemia, no surgical intervention needed.

Keywords: Epididymitis; Methamphetamine; Testicular ischemia; Vasoconstriction.

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Conflict of interest statement

All data are available electronically within Royal Perth Hospital medical records and subject to confidentiality upon requesting. The datasets generated and/or analysed during the current study are not publicly available due confidentiality but are available from the corresponding author on reasonable request. I, Mohammed Al-Zubaidi and all authors have not received a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors. There is no conflict of interests among authors. Authors contributed in finalising the case in the following shares, Mohammed Al-Zubaidi had the major contribution in collecting date, consenting the patient, writing the case and preparing it to be published. Andrew Stuart contributed in writing the abstract, Thilina Jayaratne contributed in supplying a de-identified ultrasound images. Emma Marsdin is the supervisor.

Figures

Fig. 1
Fig. 1
First scrotal ultrasound at the time of presentation confirmed increased vascularity of the left epididymis and lacking vascularity of the right testicle.
Fig. 2
Fig. 2
Right hemiscrotal ultrasound at the time of presentation demonstrating the lack of right testicular vascularity.
Fig. 3
Fig. 3
Ultrasound doppler image demonstrating the normal arterial trace in the right testicle 20 h post prior ultrasound with avascular right testicle.
See this image and copyright information in PMC

References

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