| 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.
|
General Microscopic Description
•There is hemorrhage into the interstitium of the
testis.
•Areas of extensive hemorrhage will also show necrosis of
seminiferous tubules.
|
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
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| Testicular hemorrhage
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| Synopsis by: Harold Yamase M.D. (T78000M54730)[185]
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