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Published on: March 31, 2023
Tuberculous epididymo-orchitis in an undescended testis
Punit Tiwari1, Dilip Kumar Pal, Biplab Kumar Biswas
1Department of Urology, IPGMER, SSKM Hospital, Kolkata, West Bengal.
The Indian Journal of Tuberculosis
|November 4, 2010
Summary
We report a rare case of tuberculosis affecting an undescended testis, diagnosed using fine needle aspiration cytology. Treatment involved anti-tubercular drugs and surgery for this unique presentation.
Area of Science:
- Urology
- Infectious Diseases
- Pathology
Background:
- Undescended testes (cryptorchidism) present unique diagnostic challenges.
- Tuberculosis can affect various organs, including the genitourinary system.
- Epididymitis, inflammation of the epididymis, is typically infectious.
Observation:
- An uncommon case of tubercular epididymitis occurred in a patient with an undescended testis.
- Diagnosis was established using fine needle aspiration cytology (FNAC).
- This specific combination has not been previously documented in medical literature.
Findings:
- Fine needle aspiration cytology (FNAC) proved effective for diagnosing tubercular epididymitis in this undescended testis case.
- Standard treatment involves a multi-drug regimen of anti-tubercular medications.
- Surgical intervention was necessary in this particular case, highlighting potential complexities.
Implications:
- This case expands the known clinical spectrum of genitourinary tuberculosis.
- Highlights the importance of considering tuberculosis in undescended testes with epididymal inflammation.
- Suggests FNAC as a valuable diagnostic tool for rare presentations of genitourinary infections.
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