Polyarteritis nodosa with bilateral asynchronous testicular necrosis: a case report.
Publication/Presentation Date
1-1-2011
Abstract
Polyarteritis nodosa (PAN) is a systemic vasculitis which may result in thrombosis or aneurysm formation in any organ of the body. We report a case polyarteritis nodosa (PAN) resulting in bilateral asynchronous testicular necrosis. A 55-year-old male developed acute onset of left testicular pain resulting in a left orchiectomy and right orchidopexy for an ischemic left testicle without evidence of torsion. Three weeks later, the patient developed acute right-sided scrotal pain, and surgical exploration revealed a right necrotic testicle resulting in a right orchiectomy. Pathologic evaluations demonstrated benign testes with acute interstitial hemorrhage and focal atrophy. The patient also experienced abdominal skin necrosis, penile pain and swelling, and temporary loss of vision. This is a unique case of PAN and the only case of asynchronous testicular necrosis in the medical literature.
Volume
2011
First Page
465353
Last Page
465353
ISSN
2090-6978
Published In/Presented At
Toepfer, N. J., Lountzis, N. I., Ugoeke, J. C., & Ferringer, T. C. (2011). Polyarteritis nodosa with bilateral asynchronous testicular necrosis: a case report. Case reports in urology, 2011, 465353. https://doi.org/10.1155/2011/465353
Disciplines
Medicine and Health Sciences
PubMedID
22606613
Department(s)
Department of Medicine
Document Type
Article