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黄色肉芽肿性附睾睾丸炎:一例病例报告并文献复习

Xanthogranulomatous epididymo-orchitis: A case report with review of the literature.

作者信息

Bapir Rawa, Ali Rawa M, Hussien Dahat A, Omar Diyar A, Kakamad Fahmi H, Salih Abdulwahid M, Mohammed Shvan H

机构信息

Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq; Department of Urology, Surgical Teaching Hospital, Sulaimani, Kurdistan, Iraq; Kscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq.

Shorsh General Teaching Hospital, Pathology Lab, Sulaimani, Kurdistan, Iraq.

出版信息

Int J Surg Case Rep. 2022 Mar;92:106832. doi: 10.1016/j.ijscr.2022.106832. Epub 2022 Feb 12.

DOI:10.1016/j.ijscr.2022.106832
PMID:35220165
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8889127/
Abstract

INTRODUCTION

Xanthogranulomatous orchitis is an extremely rare condition of the test is marked by the necrosis and effacement of testicular parenchyma by an inflammatory process. The current study aims to report a case of xanthogranulomatous epididymo-orchitis.

CASE REPORT

A 35-year-old man presented with a history of recurrent attacks of dull pain and swelling of the right side of the scrotum for 3 weeks. He denied having any history of trauma or urinary symptoms. Physical examination revealed tenderness and warmth of the right side of the scrotum. Urine culture was negative. The patient managed operatively.

DISCUSSION

The underlying pathophysiology of xanthogranulomatous orchitis is yet unknown. The pathogenesis of this inflammatory process in the testis is frequently driven by obstruction of the epididymis or the urinary tract. Urinary tract infection has also been considered as an etiologic factor.

CONCLUSION

Xanthogranulomatous orchitis is an uncommon testicular inflammatory condition. Histopathologic examination is required for definitive diagnosis and for the exclusion of occult germ cell malignancy.

摘要

引言

黄色肉芽肿性睾丸炎是一种极为罕见的睾丸疾病,其特征为炎症过程导致睾丸实质坏死和消失。本研究旨在报告一例黄色肉芽肿性附睾睾丸炎病例。

病例报告

一名35岁男性,有右侧阴囊反复钝痛和肿胀发作3周的病史。他否认有任何外伤史或泌尿系统症状。体格检查发现右侧阴囊压痛且发热。尿培养阴性。该患者接受了手术治疗。

讨论

黄色肉芽肿性睾丸炎的潜在病理生理学尚不清楚。睾丸这种炎症过程的发病机制通常由附睾或尿路梗阻引起。尿路感染也被视为一个病因。

结论

黄色肉芽肿性睾丸炎是一种不常见的睾丸炎症性疾病。明确诊断及排除隐匿性生殖细胞恶性肿瘤需要进行组织病理学检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ca/8889127/d2f5a422df44/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ca/8889127/22e3edb34fef/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ca/8889127/d2f5a422df44/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ca/8889127/22e3edb34fef/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ca/8889127/d2f5a422df44/gr2.jpg

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引用本文的文献

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Xanthogranulomatous epididymo-orchitis: A single-institutional case series and systematic review.黄色肉芽肿性附睾睾丸炎:一项单机构病例系列研究及系统评价
Indian J Urol. 2023 Jan-Mar;39(1):58-66. doi: 10.4103/iju.iju_270_22. Epub 2022 Dec 29.