Henoch-Schonlein purpura presenting with bilateral solid testicular masses in an adult

A 24-year-old male  presented to the emergency department with a purpuric rash that started a week prior on the arms, trunk, and legs, along with acute onset testicular pain radiating to the lower abdomen. Ultrasound performed during that ED visit showed bilateral testicular solid masses, hypovascular or avascular, a nd a hypervascular left testicle and epididymis (Figure 1). Differential based on ultrasound findings included: testicular carcinoma, granulomatous epididymoorchitis such as sarcoidosis or tuberculosis, adrenal rests, lymphoma, or metastases.

Source: Urology - November 9, 2019 Category: Urology & Nephrology Authors: Marissa B. Lobl, Chad A. LaGrange, Ryan M. Trowbridge Source Type: research