Abstract
Isolated testicular tuberculosis is a rare clinical condition. A 20 year-old man presented with the complaint of right testicular swelling without clear pain. At physical examination a painless, solid mass was palpated at the lower pole of the right testis with normal epididymis. Tumor markers were normal. Scrotal ultrasonography revealed a heterogen, hipoechogenic solid mass in 33x33x28 mm diameter in the right testis. Abdominal ultrasonography and chest X-ray was normal. Patient was considered as testicular cancer and right radical inguinal orchiectomy was performed. Final pathology report revealed tuberculous orchitis. Antituberculosis treatment was initiated after the pathology report. Inguino-scrotal fistula developed 30 days after the operation. The wound completely healed secondarily after antituberculosis treatment. Genitourinary tuberculosis must be kept in mind for the differential diagnosis of young patients presenting with testicular swelling, especially in countries where tuberculosis is endemic.
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