A Case of Vesical and Scrotal Sparganosis Presenting as a Scrotal Mass

A 59-year-old Korean man complained of a painless scrotal hard nodule and weak urine stream. The ultrasound scan revealed a 2.2-cm sized round heteroechogenic nodule located in the extratesticular area. Microscopic hematuria was detected in routine laboratory examinations. On scrotal exploration, mu...

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Veröffentlicht in:Korean journal of parasitology 2010-03, Vol.48 (1), p.57-59
Hauptverfasser: Yun, S.J., Chungbuk National University College of Medicine, Cheongju, Republic of Korea, Park, M.S., Chungbuk National University College of Medicine, Cheongju, Republic of Korea, Jeon, H.K., Chungbuk National University College of Medicine, Cheongju, Republic of Korea, Kim, Y.J., Chungbuk National University College of Medicine, Cheongju, Republic of Korea, Kim, W.J., Chungbuk National University College of Medicine, Cheongju, Republic of Korea, Lee, S.C., Chungbuk National University College of Medicine, Cheongju, Republic of Korea
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container_title Korean journal of parasitology
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creator Yun, S.J., Chungbuk National University College of Medicine, Cheongju, Republic of Korea
Park, M.S., Chungbuk National University College of Medicine, Cheongju, Republic of Korea
Jeon, H.K., Chungbuk National University College of Medicine, Cheongju, Republic of Korea
Kim, Y.J., Chungbuk National University College of Medicine, Cheongju, Republic of Korea
Kim, W.J., Chungbuk National University College of Medicine, Cheongju, Republic of Korea
Lee, S.C., Chungbuk National University College of Medicine, Cheongju, Republic of Korea
description A 59-year-old Korean man complained of a painless scrotal hard nodule and weak urine stream. The ultrasound scan revealed a 2.2-cm sized round heteroechogenic nodule located in the extratesticular area. Microscopic hematuria was detected in routine laboratory examinations. On scrotal exploration, multiple spargana were incidentally found in the mass and along the left spermatic cord. On cystoscopy, a 10-mm sized mucosal elevation was found in the right side of the bladder dome. After transurethral resection of the covered mucosa, larval tapeworms were removed from inside of the nodule by forceps. Plerocercoids of Spirometra erinacei was confirmed morphologically and also by PCR-sequencing analysis from the extracted tissue of the urinary bladder. So far as the literature is concerned, this is the first worm (PCR)-proven case of sparganosis in the urinary bladder.
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subjects Animals
Case Report
Cystoscopy
DNA, Helminth - chemistry
DNA, Helminth - genetics
ESCROTO
Hematuria - diagnosis
Humans
Male
Middle Aged
Polymerase Chain Reaction
SCROTUM
Scrotum - diagnostic imaging
Scrotum - parasitology
Scrotum - pathology
Sequence Analysis, DNA
Sequence Homology, Nucleic Acid
sparganosis
Sparganosis - diagnosis
Sparganosis - parasitology
sparganum
Spirometra - isolation & purification
Spirometra erinacei
Ultrasonography
urinary bladder
Urinary Bladder Diseases - parasitology
Urinary Bladder Diseases - pathology
Urinary Bladder Diseases - surgery
title A Case of Vesical and Scrotal Sparganosis Presenting as a Scrotal Mass
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