1Department of Respiratory Medicine, Nicosia General Hospital, Nicosia, Cyprus
2Department of Respiratory Medicine, General Hospital ‘Amalia Fleming’, Athens, Greece
3Department of Histopathology and Cytology, General Hospital ‘Amalia Fleming’, Athens, Greece
4Department of Obstetrics and Gynaecology, General Hospital - Maternity “Helena Venizelou”, Athens, Greece
5Department of Respiratory Medicine, University of Thessaly Medical School, Larissa, Greece
* Corresponding author Email: email@example.com
Isolated tuberculous epididymitis usually presents with a clinical picture and radiographic illustrations similar to those of a scrotal neoplasm; therefore, diagnosis can be challenging for physicians. This paper reports a rare case of isolated tuberculous epididymitis in a young man with swollen testicles.
A 32-year-old man with unremarkable past medical history was hospitalized for a swollen right testicle accompanied by localised pain and fever. Scrotal ultrasound and CT displayed a 27-mm lesion of the right testicle with no renal parenchymal masses. The possibility of a malignant tumour in this case was thought to be significant, and therefore the patient underwent a right inguinal orchiectomy. Histopathological examination of the removed testis revealed caseating granulomatous inflammation and necrosis with Langhans giant cells, typical of tuberculous infection.
Although the possibility of a scrotal neoplasm in young men with swollen testicle is high, diagnostic work-up in these patients should be thorough to avoid unnecessary orchectomies. Clinicians should also be aware of the case of isolated tuberculous epididymitis, an entity that can be potentially cured by anti-TB medications if diagnosed in an incipient phase.