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Journal of Case Reports
Hydatid Cyst of the Scrotum Miming a Testicular Tumor

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Ghassen Tlili1, Khaireddine Bouassida1, Adel Slama1, Taghrid Tlili2, Sonia Ziadi2, Ali Taher Mosbah1
From the Department of Urology1, Hospital of Sahloul, Sousse, Tunisia and Department of Pathology2, Hospital of Farhat Hached, Sousse, Tunisia. 
Corresponding Author:
Dr. Khaireddine Bouassida
Email: khayri14@hotmail.com
Received: 13-JAN-2014 Accepted: 06-APR-2014 Published Online: 05-MAY-2014
DOI: http://dx.doi.org/10.17659/01.2014.0038
Abstract
Hydatid disease constitutes a genuine public health problem. Hydatidosis varies from one region to another, and its prevalence in the Maghreb is moderate. We report the case of a 43 year old male who presented with a painless right testicular mass of one year duration. Local examination showed hard, nontender, right testicular mass of 9x5 cm. Levels of serum a-fetoprotein and human chorionic gonadotrophin were within normal limits. Scrotal ultrasound revealed heterogenous mass arising from the testicle. High inguinal orchidectomy was performed as diagnosis was not absolutely clear. The final pathology report revealed hydatid cyst of the testis. In most cases, ultrasound is the key of diagnosis but sometimes imaging is not specific and only histological examination allows confirming the diagnosis as in the case of our patient.
Keywords : Echinococcus, Cyst, Scrotum, Testicular Neoplasms, Orchiectomy.
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