Tumor-like appearance of Spermatic Granuloma

The epididymis is an organ intimately attached to the posterolateral aspect of the testis. It is a complex tubular network that connects the testicular efferent ducts to the vas deferens and a variety of no neoplastic and neoplastic lesions involves the epididymis (1). Spermatic granuloma (SG) is a granulomatous lesion that presents clinically as a nodular lesion in the region of epididymis. It represents a chronic immune response to extravasated sperm caused by trauma, surgery or infection. There are only few documented cases of spermatic granuloma in the literature. We present a new case of SG.