Bilateral xanthogranulomatous funiculitis and orchiepididymitis in a 13-year-old adolescent boy.
Xanthogranulomatous orchitis is an extremely rare inflammatory nonneoplastic lesion of the testis. We report a case of a 13-year-old adolescent boy who presented a painless left hemiscrotal swelling. The subsequent ultrasonography and magnetic resonance imaging revealed the presence of abnormal expanding tissue located in both testes and spermatic cord, reaching the internal inguinal ring. Testicular tumor markers were normal. The frozen section examination of the surgical specimen showed only inflammatory tissue and not neoplastic tissue. No orchiectomy was performed. Definitive histopathologic diagnosis was xanthogranulomatous inflammation. To our knowledge, this is the youngest case of xanthogranulomatous orchiepididymitis and funiculitis found in medical literature.
Pediatric Surgery Unit, University Policlinic Hospital, Modena, Italy. repettopaolo@hotmail.com
Paolo
P
Repetto
Maria Anastasia
MA
Bianchini
Pier Luca
PL
Ceccarelli
Luca
L
Roncati
Viviana
V
Durante
Diego
D
Biondini
Antonio
A
Maiorana
Giuseppe
G
Barbolini
Alfredo
A
Cacciari
D000293:Adolescent; D004823:Epididymitis / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D009920:Orchitis / Q000150:complications* / Q000175:diagnosis; D013085:Spermatic Cord; D014973:Xanthomatosis / Q000150:complications* / Q000175:diagnosis