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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}gmail.com

Abstract

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

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Footnotes

  • 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.

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