Segmental Testicular Infarction - Is Conservative Management Feasible?

Segmental testicular infarction is a relatively uncommon and benign finding. It occurs predominantly in the second and third decade of life. The main symptoms are unilateral and scrotal as seen in more common conditions such as testicular torsion, epididymitis, orchitis, or blunt trauma. The primary testis investigation method is ultrasonography (US) with color Doppler. Normally segmental testicular infarction is seen as a round or wedge-shaped hypoechoic lesion within the testicle in combination with absent or low blood flow. In contrast, vascular testicular lesions are often malignant. However, US alone cannot rule out testicular neoplasms, since hypovascularity of testicular tumors has been described.