A 72-year-old men presented to his primary care physician with a chief complaint of
a painful left scrotal mass of 2 weeks' duration. He had a medical history of noninvasive
bladder cancer for which he had completed a 6-week induction course of bacille Calmette-Guérin
(BCG) 5 months before his present presentation. During his treatment, other than mild
dysuria, he did not recall any scrotal discomfort, fever, or chills. The urine cultures
were negative; however, the patient was treated with a 2-week course of ciprofloxacin
antibiotics and nonsteroidal anti-inflammatory drugs. During his urologic consultation,
the left scrotum was erythrematous, and an indurated mass was palpable at the lower
pole of the left testis involving the epididymis, which had not decreased in size.
He denied dysuria, hematuria, fevers, chills, nausea, vomiting, weight loss, or changes
in bowel movements. He denied any history of urinary tract infections or other genitourinary
complaints. Recent routine blood test results, including hemoglobin, hematocrit, liver
function tests, α-fetoprotein, human chorionic gonadotropin, and lactate dehydrogenase,
were within normal limits. His urinalysis revealed microscopic hematuria and was otherwise
unremarkable. The urine culture was negative.
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References
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Article info
Publication history
Published online: July 20, 2011
Accepted:
April 17,
2011
Received:
March 16,
2011
Identification
Copyright
© 2011 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
