Pseudoneoplastic Chlamydia trachomatis epididymo-orchitis is a rare clinical entity. The differential diagnosis with malignant tumour of the testis remains difficult and surgical exploration with orchidectomy is often difficult to avoid. Urgent testing for Chlamydia trachomatis by PCR in urine, semen and a urethral swab confirms the diagnosis and allows introduction of antibiotic therapy rather than surgical exploration.
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