Common causes of complete testicular infarction include testicular torsion, severe epididymoorchitis, and trauma. Segmental testicular infarction is rare and fewer than 40 cases have been reported in the literature  and . Patients commonly present with acute scrotal pain although occasionally patients may present with recurrent testicular pain. In early stages examination may be completely normal although there may be swelling and tenderness suggestive of acute inflammatory pathology or torsion might be present. In more advanced stages an indurated testicular mass may be felt .