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