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Testicular vasculitis (TV) is a cause of testicular infarction (TI) which can lead to significant morbidity and rarely mortality. Polyarteritis Nodosa (PAN) is the most common vasculitis that leads to testicular infarction (TI). This case report describes the retrospective tissue diagnosis of autoimmune vasculitis in a middle aged Caucasian male who developed left unilateral orchalgia and a hard, palpable testicular mass.