English

Abstract

Isolated tubercular epididymo-orchitis usually presents with a clinical pictures and radiographic illustrations similar to those of a testicular neoplasm; therefore diagnosis may be challenging for clinicians. In our case, a 25years male presented with bilateral testicular swellings without any evidence of tuberculosis elsewhere in the body. We report this case firstly because isolated epididymo-orchitis is an unusual presentation of tuberculosis. Secondly this case may help clinicians in diagnostic approach when testicular tuberculosis masquerade testicular neoplasm, and thus avoids unnecessary orchiectomy and save the clinicians from the possible charges of medical negligence. CASE REPORT: A 25 years male, non-smoker presented in surgery OPD with complains of swelling of both testes with pain over a period of 6 months; Testicular swelling was gradually increasing in size. There was no history of fever, weight loss, night sweats, cough or haemoptysis. Even there were no history of dysuria, frequency, urgency of micturition or history of any trauma. He has two children. clinical examination of chest and the abdomen were normal. Physical examination of the genitalia revealed firm enlargement of both testes with irregular surface, while epididymis and spermatic cords were thickened. The scrotal skin showed no signs of inflammation. Transillumination test of the swellings was negative. There was bilateral inguinal lymphadenopathy. Prostate was found normal on digital rectal examination.