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Published on: March 31, 2023
Case report. Tuberculous epididymo-orchitis: MRI findings.
A C Tsili1, C Tsampoulas, D Giannakis
1Department of Clinical Radiology, University Hospital of Ioannina, 45500 Ioannina, Greece. a_tsili@yahoo.gr
The British Journal of Radiology
|May 20, 2008
Summary
Tuberculosis can affect the scrotum, presenting as testicular enlargement and nodules. Early diagnosis and anti-tuberculous treatment are crucial for managing this rare manifestation.
Area of Science:
- Urology
- Infectious Diseases
- Radiology
Background:
- Tuberculosis (TB) is a significant global health concern.
- Scrotal involvement in TB is rare, often presenting with non-specific symptoms.
Observation:
- A 70-year-old male presented with fever, left flank pain, and scrotal enlargement.
- Imaging revealed pulmonary and kidney tuberculous involvement.
- Scrotal ultrasound and MRI showed bilateral testicular enlargement with nodules in the testes and epididymis.
Findings:
- Urine cultures confirmed tuberculous bacilli.
- The patient received anti-tuberculous therapy.
Implications:
- This case highlights the importance of considering genitourinary tuberculosis in patients with unexplained scrotal pathology.
- Prompt diagnosis and treatment are essential to prevent complications and manage TB effectively.
- Radiological findings, including CT, ultrasound, and MRI, play a vital role in diagnosing scrotal TB.
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