Pathologically proven cholesterol crystal embolism causing testicular infarction after endovascular aneurysm repair
Kenjiro Kaneko, Takao Ohki, Eisaku Ito, Kiichiro Ishikawa · 2026
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Description
Kenjiro Kaneko's team reports cholesterol crystal embolism causing testicular infarction after aneurysm repair, in a 2026 case report. A 56-year-old man developed acute right testicular infarction after endovascular repair with internal iliac artery coil blockage for an infrarenal aortic aneurysm. Pain moved oddly from the upper abdomen to the right testicle.
Sound-wave imaging suggested loss of blood flow, and contrast MRI confirmed global infarction. Removal of the testicle revealed cholesterol crystals blocking the spermatic cord artery, proving the mechanism. The case urges early scrotal checks when post-repair pain moves unexpectedly, and shows MRI's value in diagnosing this rare complication.
Catalog record
| CREATOR | Kenjiro Kaneko, Takao Ohki, Eisaku Ito, Kiichiro Ishikawa |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 16 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |