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The Journal of Urology Feb 1975Three cases of an uncommon but extremely interesting inflammatory process are reported. As our discussion indicates, many questions remain unanswered. It is important to...
Three cases of an uncommon but extremely interesting inflammatory process are reported. As our discussion indicates, many questions remain unanswered. It is important to recognize this condition because it is often initially thought to be neoplastic. The disease is characterized by acute recurring exacerbations over a long period and is often associated with urinary tract infections or trauma. The testis is almost always extremely firm and frequently enlarged and tender. We believe that orchiectomy is indicated in most instances, except in extremely young individuals and those in whom the only remaining testicle is involved. Biopsy is probably sufficient in the latter case unless symptoms persist. The final diagnosis must rest on the exclusion of other granulomatous diseases as well as the microscopic picture.
Topics: Adult; Castration; Granuloma; Humans; Male; Middle Aged; Orchitis
PubMed: 1113416
DOI: 10.1016/s0022-5347(17)59442-2 -
British Journal of Urology Aug 1968
Topics: Adult; Aged; Diagnosis, Differential; Granuloma; Humans; Male; Middle Aged; Orchitis; Testis
PubMed: 5678169
DOI: 10.1111/j.1464-410x.1968.tb11832.x -
Diagnostic and Interventional Imaging May 2018
Topics: Granuloma; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Orchitis; Ultrasonography
PubMed: 29415866
DOI: 10.1016/j.diii.2017.12.004 -
Annales D'urologie Dec 2003The term orchiepididymitis encompasses inflammation of the epididymis and/or testis, i.e. epididymitis, orchitis, and true orchiepididymitis. Epididymitis is defined as... (Review)
Review
The term orchiepididymitis encompasses inflammation of the epididymis and/or testis, i.e. epididymitis, orchitis, and true orchiepididymitis. Epididymitis is defined as inflammation of the epididymis. Young adults are predominantly affected, with a frequency peak between 20 and 40 years of age. The cause is usually an infectious agent, and the main route of access to the epididymis is retrograde propagation through the vas deferens. From puberty to 35 years of age, many cases are sexually transmitted. The main causative agents are Chlamydia trachomatis and Neisseria gonorrhoeae. In prepubertal children and in adults older than 35 years of age, epididymitis is among the commonplace genitourinary infections usually caused by enterobacteria. A urinary tract abnormality, most notably an obstruction of the distal urinary tract, is often the cause of the infection. Orchitis, a less common condition, is defined as inflammation of the testis. Again, most cases are related to an infection. Dissemination of the organism occurs either via the bloodstream, particularly with viruses (the most classic example being orchitis due to mumps) or by direct spread from a focus in the epididymis (producing true orchiepididymitis). In patients younger than 35 years of age who have urethritis and suspected sexually transmitted disease, tetracyclines are the best agents and can be given intravenously at first if needed. Tetracyclines are effective not only on C. trachomatis but also on N. gonorrhoeae. This last agent also responds to other antimicrobials, such as ceftriaxone. Macrolides and second-generation quinolones are also effective on C. trachomatis. Typically, treatment is given for 3 weeks. Sexual partners should be evaluated and treated. In patients older than 35 years who have positive urine cultures for bacteria, urinary tract symptoms, a prior diagnosis of a urinary tract abnormality, or a history of a recent endourethral procedure, treatment can be given orally provided the symptoms are of moderate intensity. Either extra-strength cotrimoxazole or second-generation quinolones should be used. Patients with severe disease should be admitted for parenteral therapy with an aminoglycoside and a cephalosporin in combination, followed by oral cotrimoxazole or a second-generation quinolone. If needed, the antibiotics should be changed according to antibiotic susceptibility test results.
Topics: Adolescent; Adult; Age of Onset; Anti-Bacterial Agents; Epididymitis; Humans; Male; Orchitis; Risk Factors; Sexually Transmitted Diseases; Urinary Tract
PubMed: 14717035
DOI: No ID Found -
British Medical Journal May 1953
Topics: Animals; Chickenpox; Chickens; Humans; Male; Orchitis
PubMed: 13042190
DOI: 10.1136/bmj.1.4821.1203 -
World Journal of Surgical Oncology Apr 2017Mediastinal thymic seminomas are rare male germ cell tumors with extragonadal origin that appear predominately with a cystic appearance.
BACKGROUND
Mediastinal thymic seminomas are rare male germ cell tumors with extragonadal origin that appear predominately with a cystic appearance.
CASE PRESENTATION
A 22-year-old male was referred to our department for further investigation of a mediastinal mass discovered incidentally during routine chest X-ray. The patient has denied any symptoms including dyspnea, chest pain, cough, fever, dysphagia, hemoptysis, weight loss, and weakness. His past medical history was remarkable for orchitis, for which he had undergone a bilateral testicular biopsy, without the latter however, indicating the presence of a germ cell tumor or a premalignant lesion. Contrast-enhanced chest computed tomography revealed a lobulated and well-marginated cystic lesion in the anterior mediastinum. Differential diagnosis included mostly a multilocular thymic cyst, a lymphoma, a seminoma, or a soft tissue tumor. Resection of the mass revealed a primary thymic seminoma.
CONCLUSIONS
A surgical approach for the management of these tumors might be reasonable considering that an extensive sampling is mandatory to gain an appropriate biopsy preoperatively in order to securely confirm or refute the presence of a mediastinal extragonadal tumor. Orchitis might be a sign of a general disorder of the germ cells which might transform in time.
Topics: Adult; Diagnosis, Differential; Humans; Male; Mediastinal Neoplasms; Orchitis; Prognosis; Seminoma; Thymus Neoplasms; Young Adult
PubMed: 28407803
DOI: 10.1186/s12957-017-1146-z -
Radiology Feb 2006
Topics: Aged; Epididymitis; Humans; Male; Orchitis; Tuberculosis, Male Genital; Ultrasonography
PubMed: 16436828
DOI: 10.1148/radiol.2382031851 -
Clinical Nuclear Medicine Sep 2019Isolated genital tuberculosis is rare. We present a case of bilateral tuberculous epididymo-orchitis showing high FDG uptake on FDG PET/CT. In addition, the patient had...
Isolated genital tuberculosis is rare. We present a case of bilateral tuberculous epididymo-orchitis showing high FDG uptake on FDG PET/CT. In addition, the patient had a prostatic FDG-avid lesion, consistent with tuberculous prostatitis. This case indicates tuberculous epididymo-orchitis, especially in tuberculosis-endemic regions, should be considered as a differential diagnosis in patients with hypermetabolic epididymal or testicular lesions, including benign and malignant tumors, bacterial epididymo-orchitis, abscess, idiopathic granulomatous orchitis, and sarcoidosis.
Topics: Diagnosis, Differential; Epididymitis; Fluorodeoxyglucose F18; Humans; Male; Middle Aged; Orchitis; Positron Emission Tomography Computed Tomography; Tuberculosis, Male Genital
PubMed: 31107741
DOI: 10.1097/RLU.0000000000002606 -
The British Journal of Clinical Practice Oct 1983
Topics: Diagnosis, Differential; Granuloma; Humans; Male; Middle Aged; Orchitis
PubMed: 6639855
DOI: No ID Found -
The Pan African Medical Journal 2022The symptoms of epididymo-orchitis (EO) are usually mild, but serious complications such as abscess and testicular necrosis can occur. There are a few cases of...
The symptoms of epididymo-orchitis (EO) are usually mild, but serious complications such as abscess and testicular necrosis can occur. There are a few cases of testicular necrosis secondary to EO to our knowledge. We present a case of a 60-year-old diabetic male patient who presented with left scrotal pain and fever in the last week. The scrotal ultrasonography (US) revealed increased flow of the left testicle in favour of the left EO. After seven days of antibiotic therapy, the patient´s condition worsened and developed into a scrotal abscess. The scrotal US showed scrotal abscess with the absence of left testicular arterial vascularity in favour of testicular necrosis. For that, a left orchiectomy was performed, and a histopathology report confirmed the diagnosis. In conclusion, testicular necrosis secondary to EO is a rare occurrence. When there is a suspicion of EO, medical therapy should be started as soon as possible to avoid significant complications.
Topics: Abscess; Anti-Bacterial Agents; Epididymitis; Humans; Male; Middle Aged; Necrosis; Orchitis; Soft Tissue Injuries
PubMed: 36160277
DOI: 10.11604/pamj.2022.42.148.35560