Tokura Yuumi, Kobayashi Minoru, Kusakabe Takashi, Kamai Takao
Department of Urology, Dokkyo Medical University, Mibu, Tochigi, Japan.
Department of Urology, Utsunomiya Memorial Hospital, Utsunomiya, Tochigi, Japan.
Int J Urol. 2017 Oct;24(10):771-773. doi: 10.1111/iju.13430. Epub 2017 Aug 15.
We report an extremely rare manifestation of immunoglobulin G4-related disease, presented with hydrocele testis. A planned hydrocelectomy was converted to a high orchiectomy because of bloody fluid, suggestive of paratesticular malignancy. The histopathology showed vaginalitis, which was finally diagnosed as immunoglobulin G4-related disease. To the best of our knowledge, this is the first report of immunoglobulin G4-related disease representing hydrocele testis.
我们报告了一例极其罕见的免疫球蛋白G4相关疾病表现为睾丸鞘膜积液。由于血性液体提示睾丸旁恶性肿瘤，原计划的鞘膜积液切除术改为高位睾丸切除术。组织病理学显示为鞘膜炎，最终诊断为免疫球蛋白G4相关疾病。据我们所知，这是免疫球蛋白G4相关疾病表现为睾丸鞘膜积液的首例报告。
