Acute Testicular Segmental Infarct Following Endovascular Repair of a Juxta-renal Abdominal Aortic Aneurysm: Case Report and Literature Review

A 61-year-old male presented to our Accident& Emergency department with a 3-day history of nausea and vomiting. On examination, he had a soft non-tender abdomen but pronounced pulsation of his abdominal aorta. A computed tomography angiogram revealed a 6 cm juxta-renal abdominal aortic aneurysm with thrombus within the aneurysm sac and juxta-renal neck segment. There was also moderate atherosclerotic change of the common, internal, and external iliac arteries bilaterally. Given the lack of a suitable infrarenal sealing zone for the stent graft, he underwent a complex endovascular aortic aneurysm repair using a stent graft (Cook Medical, Limerick, Ireland) with suprarenal coverage with 4-vessel fenestrations (coeliac axis, superior mesenteric, and left and right renal arteries).
Source: Urology - Category: Urology & Nephrology Authors: Tags: Grand Rounds Source Type: research