Evidence map›Paper›PMID 42518784›Full record

ArticleJournal of vascular surgery cases and innovative techniques2026

Pathologically proven cholesterol crystal embolism causing testicular infarction after endovascular aneurysm repair.

Kenjiro Kaneko, Takao Ohki, Eisaku Ito, Kiichiro Ishikawa

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kenjiro KanekoDivision of Vascular Surgery, Department of Surgery, Shinyurigaoka General Hospital, Kanagawa, Japan.
Takao OhkiDivision of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Eisaku ItoDivision of Vascular Surgery, Department of Surgery, Shinyurigaoka General Hospital, Kanagawa, Japan.
Kiichiro IshikawaDepartment of Radiology, Shinyurigaoka General Hospital, Kanagawa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Testicular infarction following endovascular aneurysm repair (EVAR) is extremely rare, and its pathogenesis remains unclear. We report a 56-year-old man who developed acute right testicular infarction after EVAR with concomitant internal iliac artery coil embolization for an infrarenal abdominal aortic aneurysm. Pain migrated atypically from the epigastrium to the right testicle. Doppler ultrasound study suggested ischemia, and contrast-enhanced magnetic resonance imaging confirmed global infarction. Orchiectomy revealed cholesterol crystal embolism in the spermatic cord artery. This case highlights the utility of magnetic resonance imaging for diagnosing post-EVAR testicular infarction and emphasizes the importance of early scrotal evaluation in patients presenting with unexplained or migrating postoperative pain.

Indexed as

AbdominalAortic aneurysmCase reportCholesterol embolismEndovascular proceduresInternal iliac arteryTesticular infarction

Identifiers

PMID42518784
PMCPMC13383858

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.