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| Testicular hemorrhage | ||
| Etiology •Physical trauma resulting in torsion of the spermatic cord. | ||
| Pathogenesis •Torsion of the spermatic cord cuts off venous outflow while there is continued arterial flow to the testis. •The resulting increasing vascular congestion leads to vascular rupture, hemorrhage and necrosis, | ||
| Epidemiology •There may be predisposing conditions such as incomplete descent of the testis or abscence of the gubernaculum testis. | ||
| General Gross Description •The testis will appear enlarged, necrotic and hemorrhagic. •Examples: | ||
| General Microscopic Description •There is hemorrhage into the interstitium of the testis. •Areas of extensive hemorrhage will also show necrosis of seminiferous tubules. •Examples: | ||
| Clinical Correlation •Extensive testicular hemorrhage is usually due to torsion of the testis. •The condition is of acute onset and associated with the sudden onset of pain. •The condition is unilateral; the affected testis may be elevated in the scrotal sac. | ||
| References • Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 1014-1015. • • Harrison's Principles of Internal Medicine, 13th Ed: Isselbach et. al. (eds). New York, McGraw-Hill, 1994, pp. 525-526 Please be patient during transfer. Medline will open in a new window. To return, close the Medline Window Testicular hemorrhage
| Synopsis by: Harold Yamase M.D. (T78000M54730)[185]
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