A case of an asymptomatic hypoechoic testicular mass in the setting of contralateral orchitis

Richard E A Morris, Alexander Guimaraes

Research output: Contribution to journalArticle

Abstract

Background: A 28-year-old heterosexual man presented to an emergency department with a 2-day history of left testicular pain and swelling that began after he started having unprotected sex with a new partner. He also had a 1-day history of fever and chills. Investigations: Physical examination, urinalysis, complete blood count, polymerase chain reaction testing for gonorrhea and chlamydia, serial scrotal ultrasonography with color Doppler imaging, and measurement of serum tumor marker levels. Diagnosis: Left orchitis with right testicular mass suspicious for malignancy. Management: The patient received antibiotic therapy (ceftriaxone and azithromycin), which resulted in resolution of his presenting symptoms. He was discharged from hospital with plans to undergo follow-up evaluation by the urology service. He opted to delay surgical intervention; repeat ultrasonography at 4 weeks revealed signs consistent with treated left-sided orchitis and revealed near-complete resolution of the right-sided lesion. The patient's right-sided mass probably represented subclinical bacterial orchitis, which responded to antibiotic therapy.

Original languageEnglish (US)
Pages (from-to)108-112
Number of pages5
JournalNature Clinical Practice Urology
Volume6
Issue number2
DOIs
StatePublished - 2009
Externally publishedYes

Fingerprint

Orchitis
Anti-Bacterial Agents
Doppler Color Ultrasonography
Unsafe Sex
Chills
Azithromycin
Urinalysis
Blood Cell Count
Ceftriaxone
Chlamydia
Gonorrhea
Heterosexuality
Urology
Patient Rights
Tumor Biomarkers
Physical Examination
Hospital Emergency Service
Ultrasonography
Fever
Biomarkers

ASJC Scopus subject areas

  • Urology

Cite this

A case of an asymptomatic hypoechoic testicular mass in the setting of contralateral orchitis. / Morris, Richard E A; Guimaraes, Alexander.

In: Nature Clinical Practice Urology, Vol. 6, No. 2, 2009, p. 108-112.

Research output: Contribution to journalArticle

@article{c03f6f8246994dccbc3ec4472e75ecc9,
title = "A case of an asymptomatic hypoechoic testicular mass in the setting of contralateral orchitis",
abstract = "Background: A 28-year-old heterosexual man presented to an emergency department with a 2-day history of left testicular pain and swelling that began after he started having unprotected sex with a new partner. He also had a 1-day history of fever and chills. Investigations: Physical examination, urinalysis, complete blood count, polymerase chain reaction testing for gonorrhea and chlamydia, serial scrotal ultrasonography with color Doppler imaging, and measurement of serum tumor marker levels. Diagnosis: Left orchitis with right testicular mass suspicious for malignancy. Management: The patient received antibiotic therapy (ceftriaxone and azithromycin), which resulted in resolution of his presenting symptoms. He was discharged from hospital with plans to undergo follow-up evaluation by the urology service. He opted to delay surgical intervention; repeat ultrasonography at 4 weeks revealed signs consistent with treated left-sided orchitis and revealed near-complete resolution of the right-sided lesion. The patient's right-sided mass probably represented subclinical bacterial orchitis, which responded to antibiotic therapy.",
author = "Morris, {Richard E A} and Alexander Guimaraes",
year = "2009",
doi = "10.1038/ncpuro1291",
language = "English (US)",
volume = "6",
pages = "108--112",
journal = "Nature Reviews Urology",
issn = "1759-4812",
publisher = "Nature Publishing Group",
number = "2",

}

TY - JOUR

T1 - A case of an asymptomatic hypoechoic testicular mass in the setting of contralateral orchitis

AU - Morris, Richard E A

AU - Guimaraes, Alexander

PY - 2009

Y1 - 2009

N2 - Background: A 28-year-old heterosexual man presented to an emergency department with a 2-day history of left testicular pain and swelling that began after he started having unprotected sex with a new partner. He also had a 1-day history of fever and chills. Investigations: Physical examination, urinalysis, complete blood count, polymerase chain reaction testing for gonorrhea and chlamydia, serial scrotal ultrasonography with color Doppler imaging, and measurement of serum tumor marker levels. Diagnosis: Left orchitis with right testicular mass suspicious for malignancy. Management: The patient received antibiotic therapy (ceftriaxone and azithromycin), which resulted in resolution of his presenting symptoms. He was discharged from hospital with plans to undergo follow-up evaluation by the urology service. He opted to delay surgical intervention; repeat ultrasonography at 4 weeks revealed signs consistent with treated left-sided orchitis and revealed near-complete resolution of the right-sided lesion. The patient's right-sided mass probably represented subclinical bacterial orchitis, which responded to antibiotic therapy.

AB - Background: A 28-year-old heterosexual man presented to an emergency department with a 2-day history of left testicular pain and swelling that began after he started having unprotected sex with a new partner. He also had a 1-day history of fever and chills. Investigations: Physical examination, urinalysis, complete blood count, polymerase chain reaction testing for gonorrhea and chlamydia, serial scrotal ultrasonography with color Doppler imaging, and measurement of serum tumor marker levels. Diagnosis: Left orchitis with right testicular mass suspicious for malignancy. Management: The patient received antibiotic therapy (ceftriaxone and azithromycin), which resulted in resolution of his presenting symptoms. He was discharged from hospital with plans to undergo follow-up evaluation by the urology service. He opted to delay surgical intervention; repeat ultrasonography at 4 weeks revealed signs consistent with treated left-sided orchitis and revealed near-complete resolution of the right-sided lesion. The patient's right-sided mass probably represented subclinical bacterial orchitis, which responded to antibiotic therapy.

UR - http://www.scopus.com/inward/record.url?scp=60149086641&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=60149086641&partnerID=8YFLogxK

U2 - 10.1038/ncpuro1291

DO - 10.1038/ncpuro1291

M3 - Article

VL - 6

SP - 108

EP - 112

JO - Nature Reviews Urology

JF - Nature Reviews Urology

SN - 1759-4812

IS - 2

ER -