Testicular Vasculitis: A sonographic and pathologic diagnosi
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Very little has been published about single-organ vasculitis of the testicle in the radiological literature. Consequently, it is a diagnosis that is unfamiliar to most radiologists. This case report describes the sonographic, pathologic and laboratory findings of testicular vasculitis and reviews the available literature with regard to this subject. An 84-year-old male presented to the emergency department with testicular pain worsening over a 24-hour period. The patient was otherwise healthy with no significant medical concerns and no other symptoms. A testicular ultrasound was arranged on an urgent basis with the differential diagnosis consisting of epididymoorchitis versus torsion. The sonographic evaluation revealed a heterogeneous appearance of both testicles with diminished parenchymal Doppler flow. The preliminary diagnosis was testicular infarction secondary to torsion or a neoplastic process such as lymphoma. Surgical excision of the left testicle was arranged.

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