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Case Reports
. 2023 Mar:47:102342.
doi: 10.1016/j.eucr.2023.102342. Epub 2023 Feb 1.

Acute testicular infarction in the setting of SARS-CoV-2 infection and diabetic vasculopathy

Tenny R Zhang  1 , Samantha L Thorogood  1 , Jeremy Miyauchi  2 , Joseph Del Pizzo  1 , Peter N Schlegel  1
Affiliations
Case Reports

Acute testicular infarction in the setting of SARS-CoV-2 infection and diabetic vasculopathy

Tenny R Zhang et al. Urol Case Rep. 2023 Mar.

Abstract

Acute testicular pain with no arterial flow on Doppler ultrasonography is highly consistent with testicular torsion. In adults, there are rare etiologies of testicular infarction other than torsion, including infection, vasculitis, and trauma. We describe a 41-year-old man with type 2 diabetes complicated by severe vasculopathy and positive SARS-CoV-2 status presenting with acute right testicular pain. Surgical exploration and pathology were concerning for arteriosclerosis and vasculitis. These observations suggest that medically complex patients presenting with acute testicular pain in the setting of COVID-19 infection could be at risk for ischemia; causes of testicular pain beyond torsion should be considered.

Keywords: COVID-19; Diabetes; SARS-CoV-2; Testicular infarction; Vasculopathy.

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Conflict of interest statement

The authors have no conflicts of interest or disclosures to declare.

Figures

Fig. 1
Fig. 1
Testis demonstrating peritubular and interstitial fibrosis, maturation arrest at primary spermatocyte, and old hemorrhage.
Fig. 2
Fig. 2
Spermatic cord artery demonstrating intimal fibrosis and calcification with partial recanalization of lumen.
See this image and copyright information in PMC

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