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Reminder of important clinical lesson
Segmental haemorrhagic infarction of the testis in a paediatric patient: a rare aftermath of epididymitis
  1. Ottavio Adorisio1,
  2. Emanuela Ceriati1,
  3. Francesca Diomedi Camassei2,
  4. Francesco De Peppo1
  1. 1Department of Pediatric Surgery, Bambino Gesù Children's Hospital, Palidoro, Rome, Italy
  2. 2Department of Pathology, Bambino Gesù Children's Hospital, Palidoro, Italy
  1. Correspondence to Dr Ottavio Adorisio, o.adorisio{at}yahoo.it

Summary

Testicular infarction is an uncommon finding in paediatric age and is usually due to testicular torsion or trauma causing venous rupture with thrombosis and/or arteriolar obstruction. Other causes of segmental infarction of the testes are represented by polyarteritis nodosa, thromboangioiitis obliterans and hypersensitivity angiitis. A few cases of testicular infarction due to epididymitis have been described in the literature related mainly to adult patients. Epididymitis is usually treated in the outpatient setting with close follow-up, but according to our present experience, and reviewing the literature, there may be some cases in which, surgical exploration is mandatory in order to avoid testicular damage.

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