American Urological Association - Testicular Infarct
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Testicular Infarct

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  • Torsion of spermatic cord is the most common cause of testicular infarct; other causes include trauma and arteritis.
  • Delay of >8 hours results in permanent loss of the testis (no longer viable).
  • Clinical symptoms may mimic a testicular tumor.
  • Histology: coagulative necrosis of the testicular parenchyma, resulting in a diffuse reddening of the tissue and the appearance of "ghost" structures (image A) & (image B).