Schistosomal Orchitis Simulating Malignancy

Abstract

We report a case of schistosomal orchitis simulating malignancy. The patient presented with a unilateral hydrocele, testicular enlargement and loss of testicular sensation. Orchiectomy was performed because of suspected malignancy. Tissue diagnosis was schistosomiasis. The incidence, pathogenesis and pathology of genital schistosomiasis are discussed, and the literature is reviewed.

Testicular schistosomiasis: a case study

“…Testicular schistosomiasis is attributed to the migration of eggs through venous channels between the internal spermatic and mesenteric veins (7,8). Testicular schistosomiasis is extremely rare, with only 12 cases reported (9).…”

“…Testicular schistosomiasis is extremely rare, with only 12 cases reported (9). Testicular schistosomiasis caused by S. mansoni presented as a unilateral testicular swelling in seven cases, infertility in two cases, and a nodule in two cases (8,(10)(11)(12)(13)(14)(15).…”

Testicular schistosomiasis caused by Schistosoma mansoni: a case report from Brazil

“…Testicular schistosomiasis is attributed to the migration of eggs through venous channels between the internal spermatic and mesenteric veins [2,3].…”

“…Clinically, testicular schistosomiasis caused by S. mansoni presented as an unilateral testicular swelling in seven cases [3,[5][6][7][8][9][10], infertility in two cases [9,11] and a nodule (in the right testis) in two cases [2,12]. Swelling was on the right side in three cases [3,5,8] and on the left in four reports [6,7,9,10].…”

“…In five cases, an unnecessary orchiectomy was performed [3,[5][6][7]10]. In our case, knowing that the patient was from an endemic area and since clinical-radiological data was compatible with schistosomiasis, testicle preservation was decided.…”