Open Access Peer-reviewed Case Report

Xanthogranulomatous orchitis combined with contralateral acute pyogenic orchitis: A rare case report

Main Article Content

Yu Dai
Yan-Hu Meng corresponding author
Ying-Yi Li
Shuang-Ning liu

Abstract

Xanthogranulomatous orchitis is a chronic, non-neoplastic inflammation that is quite rare. In this paper, we discuss the case of a 79-year-old male patient who presented with bilateral scrotum swelling and dysuria that persisted for two weeks. Despite two weeks of anti-infection treatment, the patient's symptoms persisted, leading to a decision to perform transurethral prostate resection and bilateral orchiectomy after careful consideration. After the surgery, the postoperative pathology indicated that the patient had xanthogranulomatous orchitis on the left side and acute positive orchitis with hemorrhage on the right side. Fortunately, three months after the procedure, the patient experienced no negative events and was pleased with the postoperative results.

Keywords
xanthogranulomatous orchitis, acute pyogenic orchitis, yellow granulomatous orchitis

Article Details

How to Cite
Dai, Y., Meng, Y.-H., Li, Y.-Y., & liu, S.-N. (2024). Xanthogranulomatous orchitis combined with contralateral acute pyogenic orchitis: A rare case report. Advances in General Practice of Medicine, 6(1), 116-119. https://doi.org/10.25082/AGPM.2024.01.002

References

  1. Chung MK, Seol MY, Cho WY, et al.: Xanthogranulomatous cystitis associated with suture material. Journal of Urology. 1998, 159(3): 981-982. https://doi.org/10.1016/s0022-5347(01)63794-7
  2. Repetto P, Bianchini MA, Ceccarelli PL, et al. Bilateral xanthogranulomatous funiculitis and orchiepididymitis in a 13-year-old adolescent boy. Journal of Pediatric Surgery. 2012, 47(10): e33-e35. https://doi.org/10.1016/j.jpedsurg.2012.05.011
  3. Liang L, Jiajia W, Shoubin L, et al. Granulomatous orchitis: case report and review of the literature. Journal of International Medical Research. 2021, 49(5): 030006052110037. https://doi.org/10.1177/03000605211003773
  4. Wiener LB, Riehl PA, Baum N. Xanthogranulomatous Epididymitis: A Case Report. Journal of Urology. 1987, 138(3): 621-622. https://doi.org/10.1016/s0022-5347(17)43279-4
  5. Bapir R, Ali RM, Hussien DA, et al. Xanthogranulomatous epididymo-orchitis: A case report with review of the literature. International Journal of Surgery Case Reports. 2022, 92: 106832. https://doi.org/10.1016/j.ijscr.2022.106832
  6. Gongora e Silva RF, Pinto IC, Constantino ECN, et al. Xanthogranulomatous orchitis: case report of a rare condition. AME Case Reports. 2019, 3: 4-4. https://doi.org/10.21037/acr.2019.01.03
  7. Sharma P, Ramteke P, Satapathy A, et al. Xanthogranulomatous Orchitis Presenting as a Scrotal Mass in an Elderly Male: Malignancy or Mimicker? Clinical Medicine Insights: Case Reports. 2019, 12: 117954761989029. https://doi.org/10.1177/1179547619890295
  8. Val-Bernal JF, Argueta L, Fernández-Flórez A, et al. Bilateral xanthogranulomatous orchitis in a tetraplegic patient. Pathology - Research and Practice. 2012, 208(1): 62-64. https://doi.org/10.1016/j.prp.2011.11.003
  9. Ezer SS, Oguzkurt P, Temiz A, et al. Xanthogranulomatous Orchiepididymitis: A Very Uncommon Cause of Scrotal Mass in Childhood. Urology. 2013, 82(1): 228-230. https://doi.org/10.1016/j.urology.2013.01.039
  10. Vaidyanathan S, Mansour P, Parsons K, et al. Xanthogranulomatous funiculitis and epididymo-orchitis in a tetraplegic patient. Spinal Cord. 2000, 38(12): 769-772. https://doi.org/10.1038/sj.sc.3101045
  11. Val-Bernal JF, González-Márquez P, Ramos-Barseló E, et al. Concurrent xanthogranulomatous orchiepididymitis and seminoma in the same testis. Pathology International. 2009, 60(1): 55-58. https://doi.org/10.1111/j.1440-1827.2009.02475.x
  12. Nistal M, Gonzalez-Peramato P, Serrano A, et al. Xanthogranulomatous Funiculitis and Orchiepididymitis: Report of 2 Cases With Immunohistochemical Study and Literature Review. Archives of Pathology & Laboratory Medicine. 2004, 128(8): 911-914. https://doi.org/10.5858/2004-128-911-xfaoro
  13. Salako AA, Olasode BJ, Eziyi AK, et al. Xanthogranulomatous orchitis in an adult Nigerian. International Journal of Urology. 2006, 13(2): 186-188. https://doi.org/10.1111/j.1442-2042.2006.01258.x
  14. Yamashita S, Umemoto H, Kohjimoto Y, et al. Xanthogranulomatous orchitis after blunt testicular trauma mimicking a testicular tumor: A case report and comparison with published cases. Urology journal. 2017, 14(3): 3094-3096.
  15. Hama amin Said S, Abdalla RY, Aghaways I, et al. Xanthogranulomatous orchitis: Review of the published work, and report of one case. Urology Case Reports. 2019, 27: 100908. https://doi.org/10.1016/j.eucr.2019.100908
  16. Vijayvergiya G, Gulwani HV, Ul Hasan S. Xanthogranulomatous epididymo-orchitis. Indian Journal of Urology. 2023, 39(1): 58-66. https://doi.org/10.4103/iju.iju_270_22
  17. Matsumura M, Taketani T, Horie A, et al. Pediatric granulomatous orchitis: Case report and review of the literature. Pediatrics International. 2015, 58(2): 155-158. https://doi.org/10.1111/ped.12749