A case of angiomyolipoma of the testis

Abstract EN

A case of testicular angiomyolipoma is presented herein.

A 35-year old male with a history of one week duration of painful left scrotal mass, with previous diagnosis of epididymitis presented to the emergency room with severe left scrotal pain.

His scrotal sonography demonstrated that his left testicle was heterogeneous with evidence of left testicular infarction with multiple abscess formation.

Left orchedectomy performed and the histopathologic study reported a tumor composed of mature adipose tissue, tortuous thick walled blood vessels and bundles of smooth muscle, corresponding to testicular angiomyolipoma.This benign tumor is rare and there are very few cases reported on at the scrotal level.

Its management should take into account the size of the tumor, the presence of symptoms and factors characteristic of the patient, particularly the risk for hemorrhage; the majority of symptomatic angiomyolipoma measure around 4 cm.

Histopathologic study regularly provides the definitive diagnosis.