Infarcted Adenomatoid Tumour of Epididymis : A Rare Case Report

Abstract EN

Paratesticular tumours are pathologically rare.

The vast majority are benign in nature with adenomatoid tumours representing the most common pathological entity.

We present the case of a 32-year-old man, from the Indian subcontinent, who presented with a painful scrotal swelling sustained after trauma.

The history suggested that the scrotal mass had been present for approximately 12 months, and a preliminary diagnosis of a haemorrhagic cyst caused by trauma was made.

Initial management included scrotal support, analgesia, and a follow-up magnetic resonance imaging (MRI) scan.

Subsequent imaging and then further histological analysis confirmed a partly necrotic/infarcted adenomatoid tumour of the right epididymis.

After scrotal exploration and epididymectomy, the patient made a complete recovery, and, with the histological diagnosis, he was discharged with no further followup.

The case is presented as a learning point in the identification and management of such pathologies.