Epididymal bilharzia simulating a testicular tumor: A case report

F A H A Ido; A S Ouedraogo; I Savadogo; T Hafing; S Ouattara

doi:10.1016/j.idcr.2023.e01770

Epididymal bilharzia simulating a testicular tumor: A case report

IDCases. 2023 Apr 20:32:e01770. doi: 10.1016/j.idcr.2023.e01770. eCollection 2023.

Authors

F A H A Ido¹, A S Ouedraogo², I Savadogo³, T Hafing⁴, S Ouattara¹

Affiliations

¹ Department of Anatomy and Pathological Cytology CHU, Tengandogo, Ouagadougou, Burkina Faso.
² Department of Anatomy and Pathological Cytology CHU, Bogododgo, Ouagadougou, Burkina Faso.
³ Department of Anatomy and Pathological Cytology CHU-R of Ouahigouya, Burkina Faso.
⁴ Department of Urology CHU, Tengandogo, Ouagadougou, Burkina Faso.

Abstract

Bilharzia or schistosomiasis is a parasitic disease due to infestation by a hematophagous trematode of the genus Schistosoma. It is the second most frequent parasitic endemic in the world after malaria. The most frequent tissue infections are intestinal and genitourinary. Testicular localizations of schistosoma are very rare. When lesions become chronic, they present as non-specific masses, bilharziomas, posing enormous problems of differential diagnosis with other benign and malignant pathologies, which impacts management. We report a case of epididymal schistosomiasis in a 37 years old patient simulating a malignant tumor. This case allowed us to review the diagnostic difficulties of this rare localization and the challenges of management.

Keywords: Pathological anatomy; Pseudotumor; Schistosomiasis; Testis.

Publication types

Case Reports