A Painful Right Testis: A Case Report

Abstract

A 46-year-old Indian male without any medical history presented in the Emergency Department with a painful right testis; the pain radiated toward both flanks. Palpation of the testis was painful. There was no history of dysuria, unsafe sexual contact or weight loss. Diagnostic imaging using ultrasound revealed a suspicious mass lesion in the right testis of 2.2 cm diameter. The serum tumor markers alpha-fetoprotein and beta-HCG were negative, and LDH levels were normal. The patient was referred to the urology department, and a radical orchiectomy was performed. Histopathological analysis showed an adenomatoid tumor of the testicular parenchyma. No involvement of epididymis or testicular membranes was identified. Patient follow up was done every 6 months, consisting of physical examination and scrotal ultrasound. No new symptoms were present after 9 months follow up.




J Med Cases. 2013;4(4):212-214
doi: https://doi.org/10.4021/jmc1068e