Pattenden Trent A, Morton Andrew, Keller Andrew
Department of Urology, Ipswich Hospital, QLD, Australia.
Faculty of Medicine, University of Queensland, QLD, Australia.
Urol Case Rep. 2022 May 7;43:102111. doi: 10.1016/j.eucr.2022.102111. eCollection 2022 Jul.
Xanthogranulomatous orchitis is a rare non-malignant condition. This study reports a new case of xanthogranulomatous orchitis in a 77-year-old male, who presented with acute right scrotal mass. Ultrasound and computed tomography showed a heterogenous lesion involving the testis, with a loculated collection in the overlying scrotal wall. Scrotal exploration revealed an abscess involving the scrotal skin, with hard mass involving the testis, with histological evidence of infiltration and replacement of most testicular parenchyma. This case highlights this important consideration for xanthogranulomatous orchitis in the differential of testicular mass, particularly when associated with a purulent collection.
•Inflammation and Infection•General Urology.
黄色肉芽肿性睾丸炎是一种罕见的非恶性疾病。本研究报告了一例77岁男性的黄色肉芽肿性睾丸炎新病例，该患者表现为急性右侧阴囊肿块。超声和计算机断层扫描显示累及睾丸的不均匀病变，阴囊壁上有分隔的积液。阴囊探查发现阴囊皮肤有脓肿，睾丸有硬块，组织学证据显示大部分睾丸实质有浸润和替代。该病例强调了在鉴别睾丸肿块时，尤其是与脓性积液相关时，对黄色肉芽肿性睾丸炎的这一重要考虑。
•炎症与感染•普通泌尿外科
