Chronic Orchitis with Micro-Abscesses Simulating Testicular Neoplasm: A Case Report and Review of Literature

Abstract

Scrotal pathologies are relatively common among men, with infectious causes of the testicular diseases resulting mainly from ascending infection from the urethra, although haematogenous route have also been noted. Herein, we report a case of a 37-year-old man who presented with testicular pain of six months duration. He has been treated for urinary tract infection in the past but still had mild fever and subsequently noticed an enlarging testicular mass necessitating referral to our facility. Doppler ultrasound scan done suggested a malignant neoplasm of the right testis and the patient had radical orchiectomy with histological diagnosis of chronic orchitis with micro-abscesses. Inflammatory lesions of the testes can present as tumours with ultrasound scan findings simulating malignancies and can cause difficulties in management decisions.