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Liang L, Jiajia W, Shoubin L, Yufeng Q, Gang W, Junjiang L. Granulomatous orchitis: case report and review of the literature. J Int Med Res 2021; 49:3000605211003773. [PMID: 34041951 PMCID: PMC8168052 DOI: 10.1177/03000605211003773] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
We report the disease characteristics, diagnosis, and treatment of granulomatous orchitis. A 38-year-old man presented with a history of intermittent swelling, pain, and discomfort in the right testicle of 3 days' duration. Unenhanced magnetic resonance imaging (MRI) of the testis and scrotum revealed an oval mass in the right testis measuring approximately 17 mm in diameter, with clear borders and a target ring-like appearance from periphery to center. T1-weighted imaging (T1WI) showed uniform low-intensity signals, and T2WI showed mixed high- and low-intensity signals. Diffusion-weighted imaging (DWI) signals were iso-intense, and the outer ring on enhanced scans showed progressive enhancement. We performed radical resection of the right testis under combined spinal-epidural anesthesia. The pathological diagnosis was granulomatous right orchitis. Two months postoperatively, ultrasonography showed no testis and epididymal echo signals in the right scrotum, and no obvious abnormalities; color Doppler blood flow imaging (CDFI) findings were normal. Granulomatous orchitis is rare in clinical practice, and the cause is unknown. The disease involves non-specific inflammation; however, it is currently believed that antibiotics and steroids are ineffective for conservative treatment, and orchiectomy should be actively performed.
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Affiliation(s)
- Liu Liang
- Department of Urology, People's Hospital of Hebei Province, Shijiazhuang, Hebei Province, China
| | - Wang Jiajia
- Life Science Research Center, Hebei North University, Zhangjiakou, Hebei Province, China
| | - Li Shoubin
- Department of Urology, People's Hospital of Hebei Province, Shijiazhuang, Hebei Province, China
| | - Qi Yufeng
- Traditional Chinese Medicine Hospital of Shijiazhuang, Encephalopathy, Shijiazhuang, Hebei, China
| | - Wang Gang
- Department of Urology, People's Hospital of Hebei Province, Shijiazhuang, Hebei Province, China
| | - Liu Junjiang
- Department of Urology, People's Hospital of Hebei Province, Shijiazhuang, Hebei Province, China
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Nistal M, Paniagua R, González-Peramato P, Reyes-Múgica M. Perspective in Pediatric Pathology, Chapter 24. Testicular Inflammatory Processes in Pediatric Patients. Pediatr Dev Pathol 2017; 19:460-470. [PMID: 27575254 DOI: 10.2350/16-08-1828-pb.1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Acute scrotal pain in children represents a major diagnostic and therapeutic challenge. An important initial differentiation should be made between epididymitis and other processes that cause acute scrotal pain, such as testicular torsion and tumor. Infectious agents disseminating through the blood flow can damage the testis by causing orchitis. On the other hand, infections ascending via spermatic pathways typically lead to epididymitis [ 1 ].
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Affiliation(s)
- Manuel Nistal
- 1 Department of Pathology, Hospital La Paz, Universidad Autónoma de Madrid, Madrid 28029, Spain
| | - Ricardo Paniagua
- 2 Department of Cell Biology, Universidad de Alcala, Madrid, Spain
| | - Pilar González-Peramato
- 1 Department of Pathology, Hospital La Paz, Universidad Autónoma de Madrid, Madrid 28029, Spain
| | - Miguel Reyes-Múgica
- 3 Department of Pathology, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA 15224, USA
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Matsumura M, Taketani T, Horie A, Mizota Y, Nakata S, Kumori K, Nagase M, Harada Y, Tanaka Y, Yamaguchi S. Pediatric granulomatous orchitis: Case report and review of the literature. Pediatr Int 2016; 58:155-8. [PMID: 26669680 DOI: 10.1111/ped.12749] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2014] [Revised: 10/08/2014] [Accepted: 06/18/2015] [Indexed: 11/27/2022]
Abstract
An 11-year-old boy presented with fever and abdominal pain, and was diagnosed with retroperitoneal lymphadenitis. At the same time, a painless right scrotal mass was observed. On imaging the testis and the epididymal mass both had abundant blood flow, although tumor markers were negative. Although the right testis had shrunk after antibiotic treatment, swelling was persistent and incisional biopsy was therefore performed, resulting in diagnosis of granulomatous orchitis (GO). No recurrence was found. In cases of scrotal swelling in both the testis and the epididymis of an older child, it is necessary to consider the possibility of inflammatory GO, and orchiectomy should not be performed without careful consideration.
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Affiliation(s)
- Misaki Matsumura
- Department of Pediatrics, Shimane University School of Medicine, Matsue, Shimane, Japan
| | - Takeshi Taketani
- Department of Pediatrics, Shimane University School of Medicine, Matsue, Shimane, Japan.,Division of Blood Transfusion, Shimane University Hospital, Izumo, Shimane, Japan
| | - Akiyoshi Horie
- Department of Pediatrics, Shimane University School of Medicine, Matsue, Shimane, Japan
| | - Yoko Mizota
- Department of Digestive and General Surgery, Shimane University School of Medicine, Matsue, Shimane, Japan
| | - Soichi Nakata
- Department of Digestive and General Surgery, Shimane University School of Medicine, Matsue, Shimane, Japan
| | - Koji Kumori
- Department of Digestive and General Surgery, Shimane University School of Medicine, Matsue, Shimane, Japan
| | - Mamiko Nagase
- Department of Organ Pathology, Shimane University School of Medicine, Matsue, Shimane, Japan
| | - Yuji Harada
- Department of Organ Pathology, Shimane University School of Medicine, Matsue, Shimane, Japan
| | - Yuji Tanaka
- Department of Pediatrics, Matsue City Hospital, Matsue, Shimane, Japan
| | - Seiji Yamaguchi
- Department of Pediatrics, Shimane University School of Medicine, Matsue, Shimane, Japan
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