Abstract
Paratesticular inflammatory pseudotumor is a rare entity that poses significant challenges in diagnosis and treatment due to its clinical and radiological appearance, which can mimic malignancy. We report the case of a 52-year-old male who presented with a painful mass in the left testicle. A few weeks later, the patient developed backache and leg stiffness. A left radical orchiectomy was performed, and postoperative biopsy results were obtained. Histopathological examination is crucial for definitive diagnosis, and early recognition along with appropriate surgical intervention is essential for effectively managing these benign tumors. This case contributes to the expanding literature on the unique disease entity.