Article Text

Download PDFPDF
Testicular ischaemia: one of the most unknown of post-EVAR complications
  1. Laura Costa-Perez,
  2. Bahaa Arefai-Refai,
  3. Mauricio Ramirez-Montoya and
  4. Nuria Hostench-Junoy
  1. Servei d'Angiologia i Cirurgia Vascular, Hospital Universitari de Tarragona Joan XXIII, Tarragona, Spain
  1. Correspondence to Dr Bahaa Arefai-Refai; bahaa.arefai{at}


Testicular ischaemia after endovascular aortic aneurysm repair (EVAR) is a very uncommon complication. There are only a few cases reported in the literature and the pathogenesis remains unclear. We report a case of unilateral testicular ischaemia in the early postoperative period after EVAR.

A 78-year-old man underwent standard EVAR without immediate complications. Twenty-four hours after the procedure, the patient developed sudden onset of right scrotal pain and a low-grade fever. Urgent testicular ultrasound showed ischaemic signs compromising 75% of the testicle. The patient was successfully managed with conservative treatment.

Although the pathogenesis is unknown, acute thrombosis of the testicle feeding arteries is postulated as the main hypothesis in the physiopathogenesis.

  • vascular surgery
  • cardiovascular medicine

Statistics from


  • Contributors BAR contributed to the conception of the work and medical care. LCP contributed to the design and analysis of the data. MRM and NHJ revised critically the work. All authors had read and approved this work before submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer-reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.