{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T04:30:05Z","timestamp":1780633805880,"version":"3.54.1"},"reference-count":5,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,4,11]]},"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>Testicular ischaemia after endovascular aortic aneurysm repair (EVAR) is a very uncommon complication. There are only a few cases reported in the literature and the pathogenesis remains unclear. We report a case of unilateral testicular ischaemia in the early postoperative period after EVAR.<\/jats:p>\n               <jats:p>A 78-year-old man underwent standard EVAR without immediate complications. Twenty-four\u2009hours after the procedure, the patient developed sudden onset of right scrotal pain and a low-grade fever. Urgent testicular ultrasound showed ischaemic signs compromising 75% of the testicle. The patient was successfully managed with conservative treatment.<\/jats:p>\n               <jats:p>Although the pathogenesis is unknown, acute thrombosis of the testicle feeding arteries is postulated as the main hypothesis in the physiopathogenesis.<\/jats:p>","DOI":"10.1136\/bcr-2020-240999","type":"journal-article","created":{"date-parts":[[2021,5,11]],"date-time":"2021-05-11T12:43:38Z","timestamp":1620737018000},"page":"e240999","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Testicular ischaemia: one of the most unknown of post-EVAR complications"],"prefix":"10.1136","volume":"14","author":[{"given":"Laura","family":"Costa-Perez","sequence":"first","affiliation":[{"name":"Servei d'Angiologia i Cirurgia Vascular, Hospital Universitari de Tarragona Joan XXIII, Tarragona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8740-1573","authenticated-orcid":false,"given":"Bahaa","family":"Arefai-Refai","sequence":"additional","affiliation":[{"name":"Servei d'Angiologia i Cirurgia Vascular, Hospital Universitari de Tarragona Joan XXIII, Tarragona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauricio","family":"Ramirez-Montoya","sequence":"additional","affiliation":[{"name":"Servei d'Angiologia i Cirurgia Vascular, Hospital Universitari de Tarragona Joan XXIII, Tarragona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuria","family":"Hostench-Junoy","sequence":"additional","affiliation":[{"name":"Servei d'Angiologia i Cirurgia Vascular, Hospital Universitari de Tarragona Joan XXIII, Tarragona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,5,11]]},"reference":[{"key":"2025082800305006000_14.5.e240999.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2018.09.020"},{"key":"2025082800305006000_14.5.e240999.2","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.ejvssr.2019.04.005","article-title":"Acute testicular ischaemia following endovascular aneurysm repair on the opposite side to intentional internal iliac artery occlusion","volume":"43","author":"Kontopodis","year":"2019","journal-title":"EJVES Short Rep"},{"key":"2025082800305006000_14.5.e240999.3","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/j.urology.2018.11.030","article-title":"Acute testicular segmental infarct following endovascular repair of a Juxta-renal abdominal aortic aneurysm: case report and literature review","volume":"126","author":"Zebari","year":"2019","journal-title":"Urology"},{"key":"2025082800305006000_14.5.e240999.4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2014\/591820","article-title":"Acute testicular ischemia following endovascular abdominal aortic aneurysm repair identified in the emergency department","volume":"2014","author":"Finnerty","year":"2014","journal-title":"Case Rep Emerg Med"},{"key":"2025082800305006000_14.5.e240999.5","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.ejvssr.2017.03.002","article-title":"Acute global testicular infarction Post-EVAR from cholesterol embolisation can be mistaken for torsion","volume":"35","author":"Pathmarajah","year":"2017","journal-title":"EJVES Short Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-240999","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:31:00Z","timestamp":1756366260000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-240999"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":5,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,5,11]]},"published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1136\/bcr-2020-240999"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-240999","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5]]}}}