Classical Case of Tuberculous Epididymo‑orchitis and How to Rule out Differentials on Sonography
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Abstract
Tuberculous infection of the scrotum is rare and occurs in approximately 7% of patients with tuberculosis. With the rise in the human
immunodeficiency virus pandemic, the incidence of opportunistic extrapulmonary tuberculosis has correspondingly increased, the
genitourinary system being the most common affected site. We present a classical case of tuberculous epididymo-orchitis with
clinical, sonographic and histopathological (macro and microscopic) findings as well as the precise management plan incorporated.
The sonographic imaging overlap with bacterial epididymo‑orchitis, malignant testicular lesions and testicular torsion is discussed.
Adequate knowledge of this entity is of utmost importance to ensure a meticulous diagnosis and treatment.
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References
1. Furlow B. Tuberculosis: A review and update. Radiol Technol 2010;82:33‑52.
2. Tsili AC, Tsampoulas C, Giannakis D, Papastefanaki M, Tsiriopoulos I, Sofikitis N, et al. Case report. Tuberculous epididymo‑orchitis: MRI findings. Br J Radiol 2008;81:e166‑9.
3. Chirindel A, Martinez F, Gagliardi JA, Armm MF. Testicular tuberculosis without epididymitis simulating neoplasm. Radiol Case Rep [Online] 2008;3:133.
4. Burrill J, Williams CJ, Bain G, Conder G, Hine AL, Misra RR. Tuberculosis: A radiologic review. Radiographics 2007;27:1255‑73.
5. Muttarak M, Peh WC. Case 91: Tuberculous Epididymo‑orchitis. Radiology 2006;238:748‑51.
6. Jung YY, Kim JK, Cho KS. Genitourinary tuberculosis: Comprehensive cross‑sectional imaging. AJR Am J Roentgenol 2005;184:143‑50.
7. Dogra VS, Gottlieb RH, Oka M, Rubens DJ. Sonography of the scrotum. Radiology 2003;227:18‑36.
8. Türkvatan A, Kelahmet E, Yazgan C, Olçer T. Sonographic findings in tuberculous epididymo‑orchitis. J Clin Ultrasound 2004;32:302‑5.
9. Muttarak M, Peh WC, Lojanapiwat B, Chaiwun B. Tuberculous epididymitis and epididymo‑orchitis: Sonographic appearances. AJR Am J Roentgenol 2001;176:1459‑66.
10. Michaelides M, Sotiriadis C, Konstantinou D, Pervana S, Tsitouridis I. Tuberculous orchitis US and MRI findings. Correlation with histopathological findings. Hippokratia 2010;14:297‑9.
11. Wankhar B, Batchala PP, Sailo S. Case report: USG of bilateral tuberculous epididymo‑orchitis. Indian J Radiol Imaging 2008;18:76‑9.
12. Badmos KB. Tuberculous epididymo‑orchitis mimicking a testicular tumour: A case report. Afr Health Sci 2012;12:395‑7.
13. Orakwe JC, Okafor PI. Genitourinary tuberculosis in Nigeria; a review of thirty‑one cases. Niger J Clin Pract 2005;8:69‑73.
14. Chung JJ, Kim MJ, Lee T, Yoo HS, Lee JT. Sonographic findings in tuberculous epididymitis and epididymo‑orchitis. J Clin Ultrasound 1997; 25:390‑4.