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Bilateral Testicular Infarction from IgA Vasculitis of the Spermatic Cords
Joint Authors
Swami, Abhishek
Amin, Mitual
Kellerman, Paul S.
Toushan, Mazen
Atodaria, Ashka
Lynch, Stephen D.
Kanaan, Hassan D.
Yu, Limin
Tahhan, Mamon
Zhang, Ping L.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-11-21
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
A 51-year-old man with type 2 diabetes mellitus and chronic obstructive pulmonary disease presented to the emergency room with increasing bilateral leg pain, rash, and scrotal swelling with pain.
Skin biopsy from his thigh revealed IgA-associated vasculitis.
Due to hematuria, a renal biopsy was performed and showed an IgA glomerulonephritis with focal fibrinoid necrosis and neutrophil accumulation.
Bilateral orchiectomies were performed in two separate procedures ten and thirteen days after the renal biopsy, as a result of uncontrolled abscess formation in testicles.
Microscopically, both testicles revealed large abscess formation destroying almost the entire testicular parenchyma without tumor cells.
Spermatic cord margins were further scrutinized microscopically to show bilateral vasculitis in many small size vessels, confirmed by positive endothelial staining for IgA.
Some of the affected arteries revealed central organizing thrombi with recanalization features, highly suggestive of vasculitis-associated thrombi formation, resulting in testicular ischemic infarction and abscess formation.
We conclude that this adult patient developed a severe form of Henoch-Schönlein purpura, with vasculitis affecting multiple organs, including the most serious and unusual complication of bilateral testicular infarction.
American Psychological Association (APA)
Toushan, Mazen& Atodaria, Ashka& Lynch, Stephen D.& Kanaan, Hassan D.& Yu, Limin& Amin, Mitual…[et al.]. 2017. Bilateral Testicular Infarction from IgA Vasculitis of the Spermatic Cords. Case Reports in Nephrology،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1147026
Modern Language Association (MLA)
Toushan, Mazen…[et al.]. Bilateral Testicular Infarction from IgA Vasculitis of the Spermatic Cords. Case Reports in Nephrology No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1147026
American Medical Association (AMA)
Toushan, Mazen& Atodaria, Ashka& Lynch, Stephen D.& Kanaan, Hassan D.& Yu, Limin& Amin, Mitual…[et al.]. Bilateral Testicular Infarction from IgA Vasculitis of the Spermatic Cords. Case Reports in Nephrology. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1147026
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147026