Focal orchitis presenting as bilateral testicular masses

Jose A. Karam, Linda A. Baker

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


A 14-year-old male presented with bilateral scrotal pain. Ultrasound with Doppler revealed multiple bilateral testicular masses that were hypoechoic and hypervascular. Tumor markers and endocrinologic work-up were normal. Bilateral inguinal exploration of the testicles was done and biopsy revealed inflammation with no evidence of malignancy. The patient's pain resolved a few weeks postoperatively. Follow-up ultrasound revealed resolution of the masses. Multiple pathologic testicular entities can present as hypoechoic areas on sonography. Thorough work-up should be performed prior to advocating orchiectomy based only on ultrasound findings.

Original languageEnglish (US)
Pages (from-to)337-339
Number of pages3
JournalJournal of Pediatric Urology
Issue number4
StatePublished - Aug 2007


  • Exploration
  • Orchitis
  • Testicular mass
  • Testicular pain
  • Ultrasound

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Urology


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