Fibrous pseudotumor of the tunica vaginalis: contrast enhanced sonography with pathologic correlation

Fibrous pseudotumor of the tunica vaginalis: contrast enhanced sonography with pathologic correlation

We report the case of a 28-year-old man who presented at the emergency department with recent left painful scrotal swelling, without history of genitourinary infection or trauma. On physical examination, left scrotal swelling with nodular palpation was noted. Contrast enhanced sonography demonstrate...

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Main Authors: T Puttemans, MI Ingabire, JL Jorion, AP Draguet
Format: Article
Language:English
Published: Ubiquity Press 2014-07-01
Series:Journal of the Belgian Society of Radiology
Subjects:
Scrotum
US
Online Access:https://www.jbsr.be/articles/102
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spelling doaj-988030708f6b4204bcb55958a849edb32020-11-24T23:15:05ZengUbiquity PressJournal of the Belgian Society of Radiology2514-82812014-07-0197425926110.5334/jbr-btr.102102Fibrous pseudotumor of the tunica vaginalis: contrast enhanced sonography with pathologic correlationT Puttemans0MI Ingabire1JL Jorion2AP Draguet3Department of Radiology, Clinique Saint-Pierre, OttigniesDepartment of Radiology, Clinique Saint-Pierre, OttigniesDepartment of Surgery, Clinique Saint-Pierre, OttigniesDepartment of Pathology, IPG, Gosselies, BelgiumWe report the case of a 28-year-old man who presented at the emergency department with recent left painful scrotal swelling, without history of genitourinary infection or trauma. On physical examination, left scrotal swelling with nodular palpation was noted. Contrast enhanced sonography demonstrated nodular vascularized thickening of the tunica vaginalis. Surgical exploration revealed multiples solid nodules of the vaginal wall, with, at frozen section analysis, fibroblastic tissue, vessels and chronic inflammation without malignity, suggestive of fibrous pseudotumor of the tunica vaginalis. We discuss the sonographic aspect of this rare entity and the difficulty to establish a diagnosis of benignity without surgical exploration.https://www.jbsr.be/articles/102ScrotumUS
collection DOAJ
language English
format Article
sources DOAJ
author T Puttemans
MI Ingabire
JL Jorion
AP Draguet
spellingShingle T Puttemans
MI Ingabire
JL Jorion
AP Draguet
Fibrous pseudotumor of the tunica vaginalis: contrast enhanced sonography with pathologic correlation
Journal of the Belgian Society of Radiology
Scrotum
US
author_facet T Puttemans
MI Ingabire
JL Jorion
AP Draguet
author_sort T Puttemans
title Fibrous pseudotumor of the tunica vaginalis: contrast enhanced sonography with pathologic correlation
title_short Fibrous pseudotumor of the tunica vaginalis: contrast enhanced sonography with pathologic correlation
title_full Fibrous pseudotumor of the tunica vaginalis: contrast enhanced sonography with pathologic correlation
title_fullStr Fibrous pseudotumor of the tunica vaginalis: contrast enhanced sonography with pathologic correlation
title_full_unstemmed Fibrous pseudotumor of the tunica vaginalis: contrast enhanced sonography with pathologic correlation
title_sort fibrous pseudotumor of the tunica vaginalis: contrast enhanced sonography with pathologic correlation
publisher Ubiquity Press
series Journal of the Belgian Society of Radiology
issn 2514-8281
publishDate 2014-07-01
description We report the case of a 28-year-old man who presented at the emergency department with recent left painful scrotal swelling, without history of genitourinary infection or trauma. On physical examination, left scrotal swelling with nodular palpation was noted. Contrast enhanced sonography demonstrated nodular vascularized thickening of the tunica vaginalis. Surgical exploration revealed multiples solid nodules of the vaginal wall, with, at frozen section analysis, fibroblastic tissue, vessels and chronic inflammation without malignity, suggestive of fibrous pseudotumor of the tunica vaginalis. We discuss the sonographic aspect of this rare entity and the difficulty to establish a diagnosis of benignity without surgical exploration.
topic Scrotum
US
url https://www.jbsr.be/articles/102
work_keys_str_mv AT tputtemans fibrouspseudotumorofthetunicavaginaliscontrastenhancedsonographywithpathologiccorrelation
AT miingabire fibrouspseudotumorofthetunicavaginaliscontrastenhancedsonographywithpathologiccorrelation
AT jljorion fibrouspseudotumorofthetunicavaginaliscontrastenhancedsonographywithpathologiccorrelation
AT apdraguet fibrouspseudotumorofthetunicavaginaliscontrastenhancedsonographywithpathologiccorrelation
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