Testicular infarction due to polyarteritis nodosa: a case report and literature review

VernacularTitle:结节性多动脉炎致睾丸梗死1例报告并文献复习
Author: Fei ZUO ¹ ; Hua SHEN ¹ ; Weili WU ¹ ; Fei HAN ¹ ; Hongbo YU ¹ ; Hongfei WU ¹
Author Information

1. Department of Urology, BenQ Medical Center, Nanjing Medical University, Nanjing 210000, China
Publication Type:Journal Article
Keywords: scrotal pain; testicular torsion; testicular infarction; polyarteritis nodosa
From: Journal of Modern Urology 2023;28(9):796-798
CountryChina
Language:Chinese
Abstract: 【Objective】 To report a case of testicular infarction due to polyarteritis nodosa (PAN), and to discuss its clinical diagnosis and treatment based on relevant literatures at home and abroad, so as to have a better understanding of this rare disease. 【Methods】 Clinical data of a case complaining of scrotal pain who was initially diagnosed as testicular torsion and later confirmed to be testicular infarction due to PAN were retrospectively analyzed, and relevant literatures were reviewed. 【Results】 With glucocorticoid, vasodilator and antioxidant treatment, the patient’s testicular blood flow was improved. 【Conclusion】 Testicular infarction due to PAN is a rare disease which is difficult to diagnose timely. The diagnosis depends on biopsy and the standards formulated by American College of Rheumatology (ACR). Good prognosis can be achieved with timely diagnosis and correct treatment.