An Unusual Cause of Chronic Scrotal Pain Coexisting with Hydrocele: Isolated Tuberculous Epididymitis
Isolated tuberculous epididymitis (ITE) is a rare condition affecting only the epididymis without clinical evidence of renal involvement. One of the causes of chronic scrotal pain can be ITE, which is usually only diagnosed in the presence of strong clinical suspicion, as it was in this case. The pa...
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Published in | Journal of urological surgery Vol. 6; no. 2; pp. 159 - 161 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Ankara
Society of Urological Surgery
01.06.2019
Galenos Publishing House Galenos Yayinevi |
Subjects | |
Online Access | Get full text |
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Summary: | Isolated tuberculous epididymitis (ITE) is a rare condition affecting only the epididymis without clinical evidence of renal involvement. One of the
causes of chronic scrotal pain can be ITE, which is usually only diagnosed in the presence of strong clinical suspicion, as it was in this case. The
patient who had chronic scrotal pain and hydrocele and who did not respond to medical treatment for the diagnosis of epididymitis underwent
scrotal exploration. The pathology material demonstrated necrotizing and non-necrotizing granulomas in the epididymis and around the small
vessels. The Mantoux test performed for differential diagnosis produced a positive result. The polymerase chain reaction done on the pathology
material also produced results compatible with mycobacterium tuberculosis. The patient, who did not have postoperative systemic complaints, had
his scrotal pain and swelling resolved with the completion of a 6-month anti-tuberculosis medical treatment. In ITE, which is rarely encountered,
patients usually present with a painless scrotal mass. It must be taken into account that ITE may unusually cause scrotal pain, and even though not
emphasized thoroughly until now, it may be accompanied by hydrocele as in our patient. |
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ISSN: | 2148-9580 2148-9580 |
DOI: | 10.4274/jus.galenos.2018.2220 |