Testicular schistosomiasis

Abstract

Testicular schistosomiasis is extremely rare, with only 12 cases reported. Reaching the diagnosis for this lesion that mimics malignant tumor is a great dilemma for the radiologist as well as the urologist. We report a case of testicular schistosomiasis from France that was managed conservatively. A 31- year-old Egyptian male presented to the outpatient clinic with primary infertility for 9 years. Physical examination revealed healthy male without any congenital malformations. Blood count and C-reactive protein level were normal. Hormonal tests were normal. Scrotal ultrasound showed small mass at the right testis. Scrotal exploration was carried out and frozen section results were schistosomiasis. He was given medical therapy, and further investigations were normal. A thorough evaluation must be carried out, and testicular schistosomiasis may be considered in patients living in endemic areas. We emphasize the lack of data to reach this diagnosis by radiological imaging.