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Neonatal orchitis mimicking cystic dysplasia of the testis

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Abstract

Neonatal orchitis is an extremely rare disease, usually related to a congenital genitourinary anomaly. We present a 36 weeks’ gestation infant who presented at 3 days old with a firm and enlarged right testicle. Testicular US revealed a heterogeneous right testicle with numerous cystic spaces as well as decreased testicular blood flow. The clinical concerns included testicular tumor and cystic dysplasia of the testis because of concurrent renal dysplasia. The scrotal/testicular area was without tenderness or overlying erythema. Radical inguinal orchiectomy revealed diffuse gram-negative orchitis.

This case represents an atypical presentation of orchitis. This entity should be added to the differential diagnoses of testicular mass in the neonate even in the absence of physical findings suggestive of infection.

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Authors and Affiliations

  1. Department of Urology, Mayo Clinic, 5777 E. Mayo Blvd., Phoenix, AZ, 85054, USA

    George L. Martin

  2. Department of Radiology, Phoenix Children’s Hospital, Phoenix, AZ, USA

    Ian L. S. Cassell

  3. Department of Pathology, Phoenix Children’s Hospital, Phoenix, AZ, USA

    Daphne E. deMello

  4. Department of Urology, Phoenix Children’s Hospital, Phoenix, AZ, USA

    Michael L. Ritchey

Authors
  1. George L. Martin
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  2. Ian L. S. Cassell
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  3. Daphne E. deMello
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  4. Michael L. Ritchey
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Correspondence to George L. Martin.

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Martin, G.L., Cassell, I.L.S., deMello, D.E. et al. Neonatal orchitis mimicking cystic dysplasia of the testis. Pediatr Radiol 40 (Suppl 1), 21–23 (2010). https://doi.org/10.1007/s00247-010-1676-9

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  • DOI: https://doi.org/10.1007/s00247-010-1676-9

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