A rare cause of scrotal abscess: xanthogranulomatous epididymitis

Xanthogranulomatous epididymitis is a rare benign process with destruction of tissue and replacement by cellular infiltration foamy macrophages, dense lymphocytes plasma cells. Literature has very few case reports. We reported here 72 years old male who presented as scrotal abscess bilateral hydrocele on ultrasound. On exploration he had normal right testis localized to epididymis underwent epididymectomy orchidopexy. Histopathology necrosis abundant macrophages cells findings suggestive xanthogranulomatous epididymitis.