A 47-year-old patient with a history of gastric ulcus, smoker of 10 cigarettes/day, vasectomised, who consults for moderate increase in left scrotal volume for years but with an increase over the last month, accompanied by dull discomfort, without acute pain. No micturition symptoms or fever. Physical examination revealed the presence of a medium-sized hydrocele that prevented exploration of the testicle and epididymis. General blood and urine tests were normal. Scrotal ultrasound was performed and reported as a left intratesticular nodular image with well-defined borders, suggestive of testicular neoplasia and hydrocele with anechoic content. Tumour markers (AFP and ß-HCG) were normal. Left inguinal orchiectomy was performed with placement of a siliconised testicular prosthesis. After a normal immediate postoperative period, an abdominal CT scan was performed, which was normal. The surgical specimen showed macroscopically an infarcted testicular area alternating with another apparently normal one, confirming the presence of testicular infarction in the microscopic study with absence of tumour.

