Elbadawi A, Davis R S, Cockett A T
Urology. 1978 Jul;12(1):87-90. doi: 10.1016/0090-4295(78)90378-3.
An eighty-eight-year-old Puerto Rican presented with painless enlargment of one testicle which proved histologically to be due to Schistosoma mansoni. Intratesticular ovum deposits were not associated with inflammation, granulomas, or infarction, but marked sclerosing periorchitis was present. The case illustrates a very rare form of presentation of schistosomiasis which should be considered in the differential diagnosis of unilateral testicular enlargement in patients from an endemic area, despite the fact that orchiectomy will usually be necessary to establish a definitive histopathologic diagnosis.
一名88岁的波多黎各人出现一侧睾丸无痛性肿大，组织学检查证实是由曼氏血吸虫引起的。睾丸内虫卵沉积与炎症、肉芽肿或梗死无关，但存在明显的硬化性附睾炎。该病例说明了一种非常罕见的血吸虫病表现形式，在来自流行地区的患者单侧睾丸肿大的鉴别诊断中应予以考虑，尽管通常需要进行睾丸切除术才能确立明确的组织病理学诊断。
