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Case Report Volume 6 Issue 6
Bilateral testicular micro lithiasis in pediatrics secondary to testicular trauma
Gerardo Lopez-Cruz, Alejandra Vianey Lopez Dias, Ulises Reyes Gomez, Katy Lizeth Reyes Hernandez, Dania Juárez Mesinas, Armando Quero Herandez, Carlos Francisco Pacheco Barete, Jesus Rodriguez Garcia
General Hospital Pediatrician Surgeon of Oaxaca, Mexico
General Hospital Pediatrician Surgeon of Oaxaca, Mexico
Faculty of Medicine and Surgery Benito Ju
Faculty of Medicine and Surgery Benito Ju
Mexican Academy of Pediatrics, Mexico
Mexican Academy of Pediatrics, Mexico
National Medical Center la Raza IMSS Mexico, Mexico
National Medical Center la Raza IMSS Mexico, Mexico
Radiologist, General Hospital of Oaxaca, Mexico
Radiologist, General Hospital of Oaxaca, Mexico
Pediatric hemato-oncologist General Hospital of Oaxaca, Mexico
Pediatric hemato-oncologist General Hospital of Oaxaca, Mexico
Pediatrician Neonatologist: General Hospital of Oaxaca, Mexico
Pediatrician Neonatologist: General Hospital of Oaxaca, Mexico
Pediatrician, General Hospital of Oaxaca, Mexico
Pediatrician, General Hospital of Oaxaca, Mexico
Received: January 01, 1971 | Published: December 28, 2018
Citation: Cruz GL, Dias AVL, Gomez UR, et al. Bilateral testicular micro lithiasis in pediatrics secondary to testicular trauma. Int Clin Pathol J.2018;6(6):218–220. DOI: 10.15406/icpjl.2018.06.00190
Abstract
Introduction: Testicular micro lithiasis is defined as the presence of five or more testicular microcalcifications in a single ultrasound image. The clinical meaning is still unknown. It has been associated with: cryptorchidism, testicular torsion, varicocele, gonadal dysgenesis or chromosomal disorders such as Klinefelter syndrome, Down syndrome, McCune-Albright syndrome and Peuzt-Jeghers syndrome, which may be associated with testicular deterioration and infertility.
Clinical case: A male patient of 10years. I present testicular trauma at the age of 5years 2months. With peri testicular hematoma, peri testicular and scrotal hematoma drainage was performed without incident. Its evolution was adequate and it was withdrawn at 48 hours after surgery.
Five years after the surgery, he refers to inguinoscrotal pain. Physical examination revealed: testicular atrophy and mild hydrocele. Bilateral testicular ultrasound was performed. With the following findings: testicular micro-lithiasis in the parenchyma of both testicles.
Discussion: In 2010, a meta-analysis did not report a causal link between testicular micro lithiasis and cancer in the absence of additional risk factors.
Conclusion: There is not enough evidence in the current literature to support any clinical surveillance regimen in patients with testicular micro lithiasis.
Self-examination is the most important factor in the early detection of testicular malignancy.
Keywords: testicular micro lithiasis, testicular cáncer, microlithiasis, causal, patients, seminiferous, attributable, link between, testicular, malignancy, testicular, micro, lithiasis, clinical, surveillance, regimen
©2018 Cruz, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.