Synchronous pancreatic and scrotal tuberculosis: Double jeopardy

We describe a patient who presented with scrotal swelling followed by non-healing and discharging scrotal sinuses, following local trauma and was initially suspected to have an infected scrotal hematoma. An evaluation revealed it to be scrotal tuberculosis. He also complained of upper abdominal pain...

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Bibliographic Details
Published inJournal of postgraduate medicine Vol. 69; no. 4; pp. 231 - 233
Main Authors Patel, S, Contractor, Q, Nayak, C, Rathi, P
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer India Pvt. Ltd 01.10.2023
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer - Medknow
Subjects
Case Report
Genital Diseases, Male
Hematoma
Humans
Male
Pancreas - pathology
Scrotum - diagnostic imaging
Scrotum - pathology
Tuberculosis
Pancreatic tuberculosis
scrotal tuberculosis
tuberculosis
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Summary:We describe a patient who presented with scrotal swelling followed by non-healing and discharging scrotal sinuses, following local trauma and was initially suspected to have an infected scrotal hematoma. An evaluation revealed it to be scrotal tuberculosis. He also complained of upper abdominal pain and on transabdominal ultrasonography was detected to have a mass in the head of the pancreas. Evaluation of the pancreatic mass revealed it to be pancreatic tuberculosis. Both lesions responded well to anti-tubercular therapy. This is an unusual case of two rare sites of extrapulmonary tuberculosis presenting simultaneously in the same individual. Care needs to be exercised while evaluating any non-healing ulcers or sinuses and mass lesions in countries endemic for tuberculosis as this disease can be a great masquerader.
ISSN:0022-3859
0972-2823
DOI:10.4103/jpgm.jpgm_558_22