An unusual finding of epididymal sperm granuloma in an orchidectomy specimen: A case report

Epididymal sperm granuloma as a cause of granulomatous epididymitis is rare. Most of the cases are found post vasectomy as part of the late vasectomy syndrome. These lesions are known to mimic other conditions including testicular malignancies. We report this interesting case of an epididymal sperm granuloma which was not only an incidental finding in an orchidectomy specimen of a 55 year old male with no antecedent history of surgery, trauma or clinical infection but also mimicked a testicular tumor.