PMC5299182_01
Multiple axial and longitudinal sonographic images (a-c) of the left testicle with Doppler color demonstrating a heterogeneous appearance, with multiple hypoechoic mass-like areas, and lack of Doppler flow within the majority of the testis. The right testis (image not provided) had a similar appearance.
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Sonographic evaluation revealed a heterogeneous appearance of both testicles with diminished parenchymal Doppler flow (Figure 1).
Histological section (H&E stain) of the left testicle viewed at medium (a) and high (b) power demonstrating a proliferation of neutrophils as well as T and B lymphocytes surrounding one of the intratesticular vessels consistent with vasculitis. No granulomas are present.
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The specimen was submitted for pathologic evaluation, which revealed a medium vessel vasculitis with associated hemorrhagic infarction of much of the testicular parenchyma (Figures 2 and 3).
Histological section (H&E stain) of the left testicle viewed at medium power demonstrating hemorrhagic infarction of seminiferous tubules secondary to underlying vasculitis.
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fig3
The specimen was submitted for pathologic evaluation, which revealed a medium vessel vasculitis with associated hemorrhagic infarction of much of the testicular parenchyma (Figures 2 and 3).