International E-publication: Publish Projects, Dissertation, Theses, Books, Souvenir, Conference Proceeding with ISBN.  International E-Bulletin: Information/News regarding: Academics and Research

Tubercular Epididymo-orchitis Mimicking a Testicular tumor: Unusual Presentation of the Rare disease

Author Affiliations

  • 1 Pathology department, J.N. Medical College (JNMC), Aligarh Muslim University (AMU), Aligarh, UP, INDIA

Int. Res. J. Medical Sci., Volume 2, Issue (7), Pages 17-20, July,28 (2014)

Abstract

Isolated tubercular epididymitis or epididymo-orchitis is rare and may mimic a testicular tumor, posing a diagnostic and therapeutic challenge. A 56-yr-old male presented with a right-sided mass in scrotum from past 6 months, which was clinically and radiologically diagnosed as a testicular tumor. Right-sided orchidectomy was then done. However, the histopathological findings of the testicular mass revealed features consistent with tubercular epididymo-orchitis. Acid-fast bacilli staining of the histological sections also demonstrated the tubercle bacilli, confirmatory of diagnosis of tubercular epididymo-orchitis. This case emphasizes that tubercular epididymo-orchitis must be considered in the differential diagnosis of scrotal swelling in countries where prevalence of tuberculosis is high. A definite diagnosis is important to prevent unnecessary orchiectomy and subsequent effect on fertility.

References

  1. Kapoor R., Ansari M.S., Mandhani A. and Gulia A., Clinical presentation and diagnostic approach in cases of genitourinary tuberculosis, Indian J Urol., 24(3), 401–405, (2008)
  2. Wise G.J. and Shteynshlyuger A., An update on lower urinary tract tuberculosis, Curr Urol Rep, 9(4), 305–313, (2008)
  3. Hopewell P.C., A clinical view of tuberculosis, Radiol Clin North Am, 33(4), 641–653 (1995)
  4. Shenoy V.P., Viswanath S., D’Souza A., Bairy I. and Thomas J., Isolated tuberculous epididym-oorchitis: an unusual presentation of tuberculosis, J Infect Dev Ctries., 6(1), 92–94 (2012)
  5. Chaurasia J.K., Garg C., Agarwal A. and Naim M., Tubercular thyroiditis with multinodular goitre with adenomatous hyperplasia: a rare coexistence. BMJ Case Rep, bcr-2013-200861 (2013)
  6. Marjorie P.G. and Holenarasipur R.V., Extrapulmonary tuberculosis: An overview, Am Fam Physician., 72(9), 1761–1768 (2005)
  7. Fanning A., Tuberculosis: Extra pulmonary disease, CMAJ., 160, 1697-1603 (1990)
  8. Miu W.C., Chung H.M., Tsai Y.C. and Luo F.J., Isolated tuberculous epididymitis masquerading as a scrotal tumour, J Microbiol Immunol Infect., 41(6), 528-530 (2008)
  9. Cek M., Lenk S., Naber K.G., Bishop M.C., Johansen T.E., Botto H., Grabe M., Lobel B., Redorta J.P. and Tenke P., EAU guidelines for the management of genitou-rinary tuberculosis, Eur Urol., 48(3), 353–362 (2005)
  10. Sah S.P., Bhadani P.P., Regmi R., Tiwari A. and Raj G.A., Fine needle aspiration cytology of tubercular epididymitis and epididymo-orchitis, Acta Cytol., 50(3), 243-249 (2006)