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Acute testicular ischaemia following aortoiliac stenting for aortoiliac occlusive disease |
Li-Tsa Koha,*(),Kiat Huat Ooib,Foo Cheong Nga
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a Changi General Hospital Ringgold Standard Institution, Singapore b National University Cancer Institute Ringgold Standard Institution, Singapore |
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Abstract Endovascular treatment is increasingly employed as the treatment for symptomatic aortoiliac occlusive disease. One of the possible complications of aortoiliac stenting is the development of emboli. We present a case of a 60-year-old patient presenting with right scrotal pain immediately following aortoiliac stenting for right common iliac, proximal external iliac and proximal internal iliac arteries thrombosis. He was found to have testicular ischaemia with absent blood flow on duplex ultrasonography. The patient was managed expectantly and reduced blood flow spontaneously returned to the testis over the next few weeks.
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Received: 01 November 2017
Available online: 17 May 2018
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Corresponding Authors:
Li-Tsa Koh
E-mail: li-tsa_koh@cgh.com.sg
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Ultrasonic imaging of right testis showing absence of blood flood on postoperative Day 1.
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Ultrasonic imaging showing interval heterogeneity and absent blood flow of right testis on postoperative Day 3.
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Ultrasonic imaging showing return of colour flow within right testis after 2 weeks.
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Ultrasonic imaging showing persistent reduced blood flow within right testis after 1 month.
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[1] |
Bekken JA, Jongsma H, de Vries JP, Fioole B . Self-expanding stents and aortoiliac occlusive disease: a review of the literature. Med Devices (Auckl) 2014; 7:99-105.
|
[2] |
Finnerty N, Rancour S, King A . Acute testicular ischemia following endovascular abdominal aortic aneurysm repair identified in the emergency department. Case Rep Emerg Med 2014; 2014:591820.
|
[3] |
Thomas E, Parra BL, Patel S . Post-endovascular aneurysm repair (EVAR) testicular ischemia: a rare complication. Urol Case Rep 2017; 14:35-7.
|
[4] |
McKenna AJ, Gambardella I, Collins A, Harkin DW . Testicular infarction: a rare complication of endovascular aneurysm repair treatment for aortoiliac aneurysm. J Vasc Surg 2009; 50:1487-9.
|
[5] |
Hall MJ, Duprat GI, Poulin TL . Testicular ischemia following endovascular infrarenal abdominal aortic aneurysm repair: a rare complication. J Vasc Interv Radiol 2010; 21:1603-4.
|
[6] |
Mostafa T, Labib I, El-Khayat Y, El-Rahman El-Shahat A, Gadallah A . Human testicular arterial supply: gross anatomy, corrosion cast, and radiologic study. Fertil Steril 2008; 90:2226-30.
|
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