Pediatric granulomatous orchitis: Case report and review of the literature

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 t...

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Published inPediatrics international Vol. 58; no. 2; pp. 155 - 158
Main Authors Matsumura, Misaki, Taketani, Takeshi, Horie, Akiyoshi, Mizota, Yoko, Nakata, Soichi, Kumori, Koji, Nagase, Mamiko, Harada, Yuji, Tanaka, Yuji, Yamaguchi, Seiji
Format Journal Article
LanguageEnglish
Published Australia Blackwell Publishing Ltd 01.02.2016
Subjects
Antibiotics
Biopsy
Blood flow
Case reports
Child
Diagnosis, Differential
Epididymis
Fever
Granuloma - diagnosis
granulomatous orchitis
Humans
Inflammation
Literature reviews
Lymphadenitis
Male
Orchiectomy
Orchitis
Orchitis - diagnosis
Orchitis - pathology
Orchitis - therapy
Pain
Patients
Pediatrics
scrotal swelling
testis
Testis - pathology
Tumor markers
scrotal swelling
granulomatous orchitis
testis
epididymis
orchiectomy
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Summary: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.
Bibliography:ObjectType-Case Study-3
SourceType-Scholarly Journals-1
content type line 23
ObjectType-Review-1
ObjectType-Feature-5
ObjectType-Report-2
ObjectType-Article-4
ISSN:1328-8067
1442-200X
DOI:10.1111/ped.12749