A case report of testicular sparganosis misdiagnosed as testicular tumor.

Abstract

Sparganosis is a parasitic infestation of human by plerocercoid larvae. Sparganum is usually reported to be found in the subcutaneous tissues as well as other organs, including scrotum. However, testicular sparganosis is extremely rare, because of strong capsule of tunica albuginea. An urban-living 54-yr-old Korean man presented with left scrotal pain for 6 yr. Both testes look normal physically. Ultrasonography revealed poorly defined, heterogeneous mass with increased echogenicity in the left testis. This case was misdiagnosed as testicular tumor and underwent orchiectomy, but was diagnosed as testicular sparganosis by histopathology. Sparganosis should be included for differential diagnosis of testis tumor in countries where sparganosis is prevalent.

• Authors: Won Hee Park, Tae Young Shin, Sang Min Yoon, Soo-Hwan Park, Yong Jin Kang, Do Kyung Kim, Jee-Young Han, Do Hwan Seong
• Journal: Journal of Korean medical science (J Korean Med Sci) Vol. 29 Issue 7 Pg. 1018-20 (Jul 2014) ISSN: 1598-6357 [Electronic] Korea (South)
• PMID: 25045238 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Diagnosis, Differential
• Diagnostic Errors
• Humans
• Male
• Middle Aged
• Orchiectomy
• Sparganosis (diagnosis, diagnostic imaging, pathology)
• Testicular Neoplasms (diagnosis, diagnostic imaging)
• Testis (pathology)
• Ultrasonography