Repeated testicular infarction in a patient with sickle cell disease: A possible mechanism for testicular failure

Maomi Li, James Fogarty, Kathleen D. Whitney, Peter Stone

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Abstract

We report a case of repeated testicular infarction in a 39-year-old man with sickle cell disease. The patient presented with a 2-week history of testicular pain and was found clinically and sonographically to have a testicular mass, suspicious for a testicular tumor. The pathologic examination of the orchiectomy specimen revealed multiple infarcts, showing temporal variation ranging from acute (several days old) to recent (2 to 3 weeks old) to remote. This is the fifth case of segmental testicular infarction reported in patients with sickle cell disease/trait. We propose repeated testicular infarction as a probable mechanism of testicular failure and impaired fertility in patients with sickle cell disease.

Original languageEnglish (US)
Number of pages1
JournalUrology
Volume62
Issue number3
DOIs
Publication statusPublished - Sep 1 2003

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ASJC Scopus subject areas

  • Urology

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