A Rare Case of Epididymal Cyst Due to Schistosomiasis

Abstract

Schistosomal epididymitis is a very rare condition. Worldwide, very few cases have been reported, especially in India. Here is a case of schistosomal epididymitis that was found on histopathological examination of an epididymal cyst in a 32-year-old man in India. Patient presented with concerns of a right testicular swelling. Ultrasonography of scrotum showed an ill-defined echogenic lesion just above the head of right epididymis. Excision of epididymal cyst was performed. Histopathological examination showed eggs of schistosoma surrounded by abundant inflammatory infiltrate. Post-operatively, the patient was treated with single dose of praziquantel.

Epididymal bilharzia simulating a testicular tumor: A case report

“…Clinically, these pseudo-tumoral lesions do not present any specificity allowing to evoke the diagnosis of tissue bilharziasis. They are indurated masses with often irregular contours, painful or not, which may suggest tuberculous orchitis or testicular neoplasia [9] , [10] , [11] , [12] , [13] , [14] , [15] .…”

“…Testicular involvement by Schistosoma is very rare and is caused by Schistosoma mansoni and Schistosoma haematobium [6] . Immunopathological reactions against schistosome eggs trapped in tissues lead to inflammatory and fibrosis phenomena resulting in pseudotumor masses called bilharzias [10] , [11] , [12] , [13] , [14] , [15] . Bilharzias are often the site of numerous malignant-like changes, thus posing problems of differential diagnosis [15] .…”

Prolonged Scrotal Pain Resulting from Testicular Schistosomiasis: Case Report

“…Schistosomiasis, which is uncommonly described, has been found to affect the scrotum and seminal vesicles resulting in scrotal pain, dermatitis, and hydrocele [3]. Therefore, histopathological specimens, normally biopsies from the testes and tissue sections from orchidectomy, are usually taken and examined to diagnose testicular Schistosomiasis [4][5][6].…”