Bilateral occurrence of sperm granulomas in the left spermatic cord and on the right epididymis:A case report  

作　　者：Ding-Yang Lv Hong-Jie Xie Fan Cui Hui-Yu Zhou Wei-Bing Shuang 

机构地区：[1]Department of Urology,The First Hospital of Shanxi Medical University,Taiyuan 030001,Shanxi Province,China

出　　处：《World Journal of Clinical Cases》2022年第29期10787-10793,共7页世界临床病例杂志

摘　　要：BACKGROUND Sperm granuloma is a rare disease in clinical andrology and its incidence is still unclear worldwide.According to the existing literature,sperm granuloma often occurs unilaterally.Clinical and ultrasound features are similar to epididymal tuberculosis,chronic epididymitis and other diseases.Sperm granuloma is usually diagnosed based on postoperative histopathological and immunohistochemical examination.CASE SUMMARY A 46-year-old man was admitted to the hospital due to the presence of a left scrotal mass for 3 mo and aggravation of pain for 1 wk.The lesions at both sites were surgically resected.Postoperative pathological examination showed that the left spermatic cord mass and the right epididymal mass were consistent with sperm granuloma.The sperm granulomas then recurred 3 mo after surgery.There is little change in the local mass so far.CONCLUSION The case report is helpful for our understanding of this disease.In clinical diagnosis,it should be distinguished from epididymal tuberculosis,chronic epididymitis and other diseases.Color Doppler ultrasound can be used as a preferred examination method but postoperative pathological examination is still needed for diagnosis.

关 键 词：Sperm granuloma EPIDIDYMIS Spermatic cord RECURRENCE Case report 

分 类 号：R699[医药卫生—泌尿科学]