Xanthogranulomatous orchitis with scrotal fistulas


Deniz Demırcımd, Erciyes University School of Medicine, Department of Urology, Kayserı 38039, Turkey.
Email: demirci@erciyes.edu.tr.


Abstract  Xanthogranulomatous orchitis is an extremely rare inflammatory change of testis which is difficult to distinguish from testicular tumor. We report on a 21-year-old man who presented with left testicular swelling and pyogenic discharge from the scrotum. Testicular tumor markers were normal. Scrotal ultrasonography showed a testicular tumor in the left testis. Because of severe adhesion between the scrotum and intrascrotal structures, radical orchiectomy combined with hemiscrotectomy was performed to exclude possible malignancy. Histopathological findings showed xanthogranulomatous orchitis.