Bilateral epididymal leiomyomas: atypical clinical presentation, utility of scrotal ultrasound and surgical consideration

Authors

  • Joseph Andrew Wing Kin Tang Pamela Youde Nethersole Eastern Hospital http://orcid.org/0000-0001-5675-5048
  • Chi Yeung Chu Pamela Youde Nethersole Eastern Hospital
  • Chun Kei Cheung Pamela Youde Nethersole Eastern Hospital

Abstract

Epididymal tumours are rare occurrences and even more so are bilateral diseases. Patients with epididymal tumours are commonly brought to clinical attention with painless scrotal mass. We present a rare case of bilateral epididymal leiomyomas with an atypical clinical presentation of painful scrotal swelling masquerading as recurrent epididymo-orchitis.

In this article, the clinical, sonographic and histological findings are described. Common differential diagnosis of epididymal tumours and their imaging features are also discussed.

Author Biographies

Joseph Andrew Wing Kin Tang, Pamela Youde Nethersole Eastern Hospital

Resident, Department of Radiology

Chi Yeung Chu, Pamela Youde Nethersole Eastern Hospital

Associate Consultant, Department of Radiology

Chun Kei Cheung, Pamela Youde Nethersole Eastern Hospital

Resident, Department of Clinical Pathology

References

Spark RP. Leiomyoma of epididymis. Arch Pathol 1972 Jan; 93(1):18-21.

Hertzberg BS, Kliewer MA, Hertzberg MA, Distell BM. Epididymal leiomyoma: sonographic features. J Ultrasound Med 1996; 15(11):797-9.

Imazu T, Takayama H, Tsukikawa M, Tsujimura A, Sugao H, Takaha M, et al. A case of bilateral epididymal leiomyomas [In Japanese]. Hinyokika Kiyo 1994; 40:435-7.

Larbcharoensub N, Sornmayura P, Ariyaprakai W. Bilateral Leiomyoma of Epididymides. J Med Assoc Thai 2006; 89(7):1051-4.

Akbar SA, Sayyed TA, Jafri SZ, Hasteh F, Neill JS. Multimodality imaging of paratesticular neoplasms and their rare mimics. Radiographics 2003 Nov-Dec; 23(6):1461-76.

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Published

02-01-2018

How to Cite

Tang, J. A. W. K., Chu, C. Y., & Cheung, C. K. (2018). Bilateral epididymal leiomyomas: atypical clinical presentation, utility of scrotal ultrasound and surgical consideration. Pakistan Journal of Radiology, 28(1). Retrieved from https://www.pakjr.com/index.php/PJR/article/view/799

Issue

Section

Case Reports