Testicular schistosomiasis presented as complicated epididymo-orchitis in a teenager
Schistosomiasis is a trematodes infection that causes significant morbidity and mortality in the Middle East, particularly in Yemen. Despite its impact, testicular schistosomiasis is still viewed as an uncommon illness. We present a 15-year-old child with left testicular pain and fever for three day...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576622002159 |
| _version_ | 1811315209270198272 |
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| author | Faisal Ahmed Mohamed Badheeb Ebrahim Al-Shami Saleh Al-wageeh Qasem Alyhari Fayed Al-Yousofy Saif Ghabisha |
| author_facet | Faisal Ahmed Mohamed Badheeb Ebrahim Al-Shami Saleh Al-wageeh Qasem Alyhari Fayed Al-Yousofy Saif Ghabisha |
| author_sort | Faisal Ahmed |
| collection | DOAJ |
| description | Schistosomiasis is a trematodes infection that causes significant morbidity and mortality in the Middle East, particularly in Yemen. Despite its impact, testicular schistosomiasis is still viewed as an uncommon illness. We present a 15-year-old child with left testicular pain and fever for three days diagnosed as left epididymo-orchitis based on the clinical and ultrasonographical findings. The patient was treated empirically with intravenous antibiotics alongside supportive care without improvement after one week. Ultrasonography follow-up showed that the left testis was heterogeneously enlarged without intratesticular blood flow, suggesting left testicular torsion. Immediate scrotal exploration was performed, revealing a dark, congested, and 180° twisted left testicle. Thus, an orchiectomy was performed. The specimen's histology revealed calcified ova of Schistosoma haematobium. In conclusion, even though testicular schistosomiasis is rare, clinicians should provide a thorough clinical evaluation and histopathological analysis for resected specimen, particularly in high-risk patients. |
| first_indexed | 2024-04-13T11:26:15Z |
| format | Article |
| id | doaj.art-4e7737cd71df407eb5e91660f5e9d9fd |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-04-13T11:26:15Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-4e7737cd71df407eb5e91660f5e9d9fd2022-12-22T02:48:41ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662022-09-0184102388Testicular schistosomiasis presented as complicated epididymo-orchitis in a teenagerFaisal Ahmed0Mohamed Badheeb1Ebrahim Al-Shami2Saleh Al-wageeh3Qasem Alyhari4Fayed Al-Yousofy5Saif Ghabisha6Urology Research Center, Al-Thora General Hospital, Department of Urology, School of Medicine, Ibb University of Medical Sciences, Ibb, Yemen; Corresponding author. Urology Office, Al-Thora General Hospital, Alodine street, Ibb, Yemen.Department of Internal Medicine, College of Medicine, Hadhramaut University, Hadhramaut, YemenUrology Research Center, Al-Thora General Hospital, Department of Urology, School of Medicine, Ibb University of Medical Sciences, Ibb, YemenDepartment of General Surgery, School of Medicine, Ibb University of Medical Sciences, Ibb, YemenDepartment of General Surgery, School of Medicine, Ibb University of Medical Sciences, Ibb, YemenDepartment of Pathology, Faculty of Medicine, Taiz University of Medical Since, Taiz, YemenDepartment of General Surgery, School of Medicine, Ibb University of Medical Sciences, Ibb, YemenSchistosomiasis is a trematodes infection that causes significant morbidity and mortality in the Middle East, particularly in Yemen. Despite its impact, testicular schistosomiasis is still viewed as an uncommon illness. We present a 15-year-old child with left testicular pain and fever for three days diagnosed as left epididymo-orchitis based on the clinical and ultrasonographical findings. The patient was treated empirically with intravenous antibiotics alongside supportive care without improvement after one week. Ultrasonography follow-up showed that the left testis was heterogeneously enlarged without intratesticular blood flow, suggesting left testicular torsion. Immediate scrotal exploration was performed, revealing a dark, congested, and 180° twisted left testicle. Thus, an orchiectomy was performed. The specimen's histology revealed calcified ova of Schistosoma haematobium. In conclusion, even though testicular schistosomiasis is rare, clinicians should provide a thorough clinical evaluation and histopathological analysis for resected specimen, particularly in high-risk patients.http://www.sciencedirect.com/science/article/pii/S2213576622002159Testicular schistosomiasisEpididymo-orchitisOrchiectomy |
| spellingShingle | Faisal Ahmed Mohamed Badheeb Ebrahim Al-Shami Saleh Al-wageeh Qasem Alyhari Fayed Al-Yousofy Saif Ghabisha Testicular schistosomiasis presented as complicated epididymo-orchitis in a teenager Journal of Pediatric Surgery Case Reports Testicular schistosomiasis Epididymo-orchitis Orchiectomy |
| title | Testicular schistosomiasis presented as complicated epididymo-orchitis in a teenager |
| title_full | Testicular schistosomiasis presented as complicated epididymo-orchitis in a teenager |
| title_fullStr | Testicular schistosomiasis presented as complicated epididymo-orchitis in a teenager |
| title_full_unstemmed | Testicular schistosomiasis presented as complicated epididymo-orchitis in a teenager |
| title_short | Testicular schistosomiasis presented as complicated epididymo-orchitis in a teenager |
| title_sort | testicular schistosomiasis presented as complicated epididymo orchitis in a teenager |
| topic | Testicular schistosomiasis Epididymo-orchitis Orchiectomy |
| url | http://www.sciencedirect.com/science/article/pii/S2213576622002159 |
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