title: Pediatric granulomatous orchitis: Case report and review of the literature.
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.
authors.affiliation: Department of Pediatrics, Shimane University School of Medicine, Matsue, Shimane, Japan.
authors.forename: Misaki
authors.initials: M
authors.lastname: Matsumura
authors.affiliation: Department of Pediatrics, Shimane University School of Medicine, Matsue, Shimane, Japan.|Division of Blood Transfusion, Shimane University Hospital, Izumo, Shimane, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Taketani
authors.affiliation: Department of Pediatrics, Shimane University School of Medicine, Matsue, Shimane, Japan.
authors.forename: Akiyoshi
authors.initials: A
authors.lastname: Horie
authors.affiliation: Department of Digestive and General Surgery, Shimane University School of Medicine, Matsue, Shimane, Japan.
authors.forename: Yoko
authors.initials: Y
authors.lastname: Mizota
authors.affiliation: Department of Digestive and General Surgery, Shimane University School of Medicine, Matsue, Shimane, Japan.
authors.forename: Soichi
authors.initials: S
authors.lastname: Nakata
authors.affiliation: Department of Digestive and General Surgery, Shimane University School of Medicine, Matsue, Shimane, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Kumori
authors.affiliation: Department of Organ Pathology, Shimane University School of Medicine, Matsue, Shimane, Japan.
authors.forename: Mamiko
authors.initials: M
authors.lastname: Nagase
authors.affiliation: Department of Organ Pathology, Shimane University School of Medicine, Matsue, Shimane, Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Harada
authors.affiliation: Department of Pediatrics, Matsue City Hospital, Matsue, Shimane, Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Tanaka
authors.affiliation: Department of Pediatrics, Shimane University School of Medicine, Matsue, Shimane, Japan.
authors.forename: Seiji
authors.initials: S
authors.lastname: Yamaguchi
mesh_terms: D001706:Biopsy; D002648:Child; D003937:Diagnosis, Differential; D006099:Granuloma / Q000175:diagnosis*; D006801:Humans; D008297:Male; D009919:Orchiectomy; D009920:Orchitis / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D013737:Testis / Q000473:pathology*
keywords: epididymis; granulomatous orchitis; orchiectomy; scrotal swelling; testis