Scrotal abscess with xanthogranulomatous epididymo-orchitis: a case report of rare diagnostic entity

  • Dr. Renuka Verma Assistant Professor, Department of Pathology, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
  • Dr. Niti Dalal Senior Resident, Department of Pathology, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
  • Dr. Archana Yadav Resident, Department of Pathology, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
  • Dr. Richa Pawar Assistant Professor, Department of Pathology, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
  • Dr. Sunita Singh Senior Professor, Department of Pathology, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
Keywords: Xanthogranuloma, Epididymitis, Orchitis, Malignancy

Abstract

Xanthogranulomatous epididymo-orchitis is an extremely rare diagnostic entity presenting as a scrotal mass with or without pain. Rarely, it can affect prostate, epididymis, and testicle. It can mimic a testicular malignancy both clinically as well as radiologically, hence, careful pathological examination and biomarker study are essential to rule out malignancy. We report a case of 50 years old male with increasing right testicular swelling with a discharging pus. Skin over scrotum was gangrenous. Right orchidectomy was performed. Histopathological diagnosis revealed features of xanthogranulomatous epididymo-orchitis with no evidence of malignancy. IHC markers for tumor were negative.

Downloads

Download data is not yet available.

References

Said SHA, Abdalla RY, Aghaways I, Abdullah AM. Xanthogranulomatous orchitis: Review of the published work, and report of one case. Urology Case Reports. 2019;27:100908.

Sharma P, Ramteke P, Satapathy A, Ray MD. Xanthogranulomatous Orchitis Presenting as a Scrotal Mass in an Elderly Male: Malignancy or Mimicker?. Clinical Medicine Insights: Case Reports. 2019;12:1–4.

Demirci D, Ekmekcioglu O, Soyuer I, Emirdogan M: Xanthogranulomatous orchitis with scrotal fistulas. Int J Urol. 2004;11:686– 8.

Gongora e Silva RF, Pinto IC, Constantino EC, Querichelli AF, Spessoto LC, Fácio FN Jr. Xanthogranulomatous orchitis: case report of a rare condition. AME Case Rep. 2019;3:4.

Rami S. Alazab RS, Ghawanmeh HM, Al-Okour RK, Alshammari A, Lafi T, Al-Karasneh AI, Al-Bashir S, Al-Ghazo M. Xanthogranulomatous Orchitis: Rare Case with Brief Literature Review. Urology Case Reports. 2017;13:92-3.

Zoran Persec Z, Bulimbasic S, Persec J, Ljubanovic D, Bartolin Z, Patrlj L, Hrgovic Z. Xanthogranulomatous epididymitis: clinical report and immunohistochemical analysis. Wien Klin Wochenschr. 2008.120/11–12:366–9.

Al-Said S, Ali A, Alobaidy AK, Mojeeb E, Al-Naimi A, Shokeir AA. Xanthogranulomatous orchitis: Review of the published work and report of one case. International Journal of Urology. 2007;14:452–4.

Nistal M, Gonzalez-Peramato P, Serrano A, Regadera J. Xanthogranulomatous funiculitis and orchiepididymitis: report of 2 cases with immunohistochemical study and literature review. Arch Pathol Lab Med. 2004;128:911–4.

CITATION
DOI: 10.17511/jopm.2020.i07.04
Published: 2020-10-31
How to Cite
Dr. Renuka Verma, Dr. Niti Dalal, Dr. Archana Yadav, Dr. Richa Pawar, & Dr. Sunita Singh. (2020). Scrotal abscess with xanthogranulomatous epididymo-orchitis: a case report of rare diagnostic entity. Tropical Journal of Pathology and Microbiology, 6(7), 443-445. https://doi.org/10.17511/jopm.2020.i07.04
Section
Case Report