Isolated Tuberculous Epididymo–Orchitis: A Rare and Instructive Case Report

Isolated Tuberculous Epididymo-orchitis: A rare case report

Abstract

Tuberculous epididymo-orchitis in the clinical absence of tuberculosis elsewhere in the body is a rare clinical entity. Tuberculous epididymo-orchitis remains an important, but uncommon form of tuberculosis. Genitourinary tract as primary site of disease is only 1.2%, 2nd least common site after peritoneum which is about 0.8% in which Isolated Tuberculous epididymo-orchitis is an unusual presentation of tuberculosis. It is often misdiagnosed as testicular tumour in the absence of symptoms suggestive of tuberculosis. Generally, definitive diagnosis is based on the histological study of the operative specimen. Fine Needle Aspiration Cytology (FNAC) is a useful first choice of investigation. It provides a successful diagnosis thereby preventing unnecessary orchidectomy.