Retracted testis mimicking lymphomatous recurrence: CT demonstration.

Area of Science:

• Urology
• Surgical Oncology

Background:

• The cremasteric reflex is a superficial reflex that elevates the testicle.
• Inguinal masses can represent various pathologies, including malignancy and benign conditions.

Observation:

• A case presented with a testicle retracted by the cremasteric reflex in response to cold.
• This retraction resulted in a palpable inguinal mass.

Findings:

• The retracted testicle mimicked a lymphomatous recurrence in the inguinal region.
• Cold-induced cremasteric reflex can create a clinically significant inguinal mass.

Implications:

• Accurate diagnosis is crucial to avoid misinterpreting this benign phenomenon as malignancy.
• Awareness of the cremasteric reflex is important in the differential diagnosis of inguinal masses.