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Kim, Kang, Chung, Jung, Han, and Suh: Xanthogranulomatous Epididymitis
Case Report
Korean Journal of Urology

Korean Journal of Urology 2006; 47(9): 1022-1024.

Published online: 30 September 2006

DOI: https://doi.org/10.4111/kju.2006.47.9.1022

Xanthogranulomatous Epididymitis

Yong-Jin Kim, Seok-Chan Kang, Jae-Seung Chung, Yeon-Gu Jung, Ji-Young Han1, Jun-Kyu Suh

Department of Urology, Inha University College of Medicine, Incheon, Korea.

1Department of Pathology, Inha University College of Medicine, Incheon, Korea.

Corresponding author (jksuh@inha.ac.kr)

Received 13 April 2006       Accepted 26 June 2006

Copyright © 2006 The Korean Urological Association

Abstract

Xanthogranulomatous epididymitis is extremely uncommon inflammatory disease of the epididymis that may result in massive destruction of the organ. It's clinical manifestation mimics epididymal tumor or abscess, which does not allow easy discrimination between theses diseases. We report here on a case of xanthogranulomatous epididymitis in a 69 years old man that, did not respond to antibiotic therapy.

Keywords: Xanthogranulomatous, Epididymitis

Figures and Tables

Fig. 1
Testis ultrasonography shows a hetero echogenic mass on the tail portion of the left epididymis and a multiple septated hydrocele with echogenic debris surrounding the testis.
kju-47-1022-g001
Fig. 2
(A) Microphotography shows formation of inflammatory granulomatous tissue accompanied by abundant lymphocytes, neutrophils and plasma cells (H&E, ×40). (B) Microphotography shows numerous lipid-laden macrophages having abundant cytoplasm that contains clear to foamy vacuoles (H&E, ×400).
kju-47-1022-g002

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