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Case Reports
. 2012 Sep;12(3):395-7.
doi: 10.4314/ahs.v12i3.26.

Tuberculous epididymo-orchitis mimicking a testicular tumour: a case report

K B Badmos  1
Affiliations
Case Reports

Tuberculous epididymo-orchitis mimicking a testicular tumour: a case report

K B Badmos. Afr Health Sci. 2012 Sep.

Abstract

Introduction: Isolated tuberculous epididymo-orchitis may closely mimic testicular tumour particularly in patients with no history of systemic TB thereby presenting a diagnostic and treatment challenges.

Case report: A 44-year old man presented with 4 months history of left scrotal mass and had left orchidectomy following a presumptive diagnosis of testicular tumour. Histopathological diagnosis of testicular tuberculosis was subsequently made. Although the patient was thereafter referred for antituberculosis treatment at the local tuberculosis treatment centre, he defaulted after commencing treatment.

Conclusion: Adequate evaluation of patients with testicular mass by means of abdominal and scrotal ultrasound coupled with fine needle aspiration cytology is critical to diagnostic accuracy, optimal treatment and possibility of avoiding surgery in those with testicular tuberculosis.

Keywords: Tuberculosis; cytology; epididymo-orchitis; ultrasound.

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Figures

Figure 1
Figure 1
Gross section of testicular mass showing white cheesy appearance
Figure 2
Figure 2
Testicular tissue showing caseating granulomas replacing most of the normal tissue. Haematoxylin & Eosin × 100
See this image and copyright information in PMC

References

    1. Kapoor R, Ansari MS, Mandhani A, Gulia A. Clinical presentation and diagnostic approach in cases of genitourinary tuberculosis. Indian J Urol. 2008;24:401–405. - PMC - PubMed
    1. Wise GJ, Shteynshlyuger A. An update on lower urinary tract tuberculosis. Curr Urol Rep. 2008;9:305–313. - PubMed
    1. Shenoy VP, Viswanath S, D'Souza A, Bairy I, Thomas J. Isolated tuberculous epididymoorchitis: an unusual presentation of tuberculosis. J Infect Dev Ctries. 2012;6:92–94. - PubMed
    1. Das P, Ahuja A, Gupta SD. Incidence, etiopathogenesis and pathological aspects of genitourinary tuberculosis in India: A journey revisited. Indian J Urol. 2008;24:356–361. - PMC - PubMed
    1. Sah SP, Bhadani PP, Regmi R, Tewari A, Raj GA. Fine needle aspiration cytology of tubercular epididymitis and epididymo-orchitis. Acta Cytol. 2006;50:243–249. - PubMed

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