A case of xanthogranulomatous orchitis and its preoperative diagnostic challenges
- Resource Type
- article
- Authors
- Khaled A. Murshed; Noheir M. Taha; Mohamed Ben-Gashir
- Source
- Urology Case Reports, Vol 32, Iss , Pp 101248- (2020)
- Subject
- Xanthogranulomatous orchitis
Testis
Orchitis
Epididymo-orchitis
Diseases of the genitourinary system. Urology
RC870-923
- Language
- English
- ISSN
- 2214-4420
Xanthogranulomatous orchitis (XGO) is an extremely rare inflammatory disease of the testis which can mimic testicular tumors. We report a 42-year-old man who presented with left scrotal swelling for one-month duration associated with pus discharge from the overlying scrotal skin. Scrotal ultrasonography revealed an atrophic heterogenous left testis with scrotal wall collection. Surgical scrotal exploration with left simple orchidectomy was performed. By histopathology, the diagnosis of XGO was rendered. The preoperative diagnosis of XGO can very challenging and the diagnosis mainly relies on histopathologic examination. Adequate pathologic sampling is essential to rule out the possibility of co-existing testicular neoplasms.