Isolated tuberculous epididymitis presenting as a painless scrotal tumor

摘要: Genitourinary tuberculosis, the second most common extrapulmonary tuberculosis (TB), is very difficult to diagnose unless one maintains a high index of suspicion. Isolated tuberculous epididymitis (ITE), defined as without clinical evidence either renal or prostate involvement, rare entity among genitourinary tuberculosis. When diagnosed correctly, ITE can be cured with anti-TB medications. However, patients poor response medical treatment may require surgery. Here, we report 20-year-old man who presented slow-growing painless scrotal tumor for 2 months, initial workup suspicious right paratesticular tumor. Surgical resection was therefore scheduled. severe pain and redness over patient's hemi-scrotum were noted on day A repeat ultrasound performed that revealed findings suggesting chronic inflammatory process rather than malignancy. Frozen section lesion confirmed ultrasonographic findings, pathology established diagnosis ITE. The patient remained therapy postoperatively 6 months had an excellent outcome.