[Urogenital tuberculosis revealed by scrotal trauma]

A case of urogenital tuberculosis discovered in unusual circumstances is reported. Tuberculosis was latent, as it often is, and it was diagnosed on the finding of an epididymal lesion. However, this diagnosis was delayed since the persistent hypertrophy of the right epididymis had been regarded as a sequela of a recent trauma of the scrotum. The diagnosis of tuberculosis was confirmed by epididymal biopsy, by intravenous urography which revealed a cavity in a left superior calix and above all by the presence of Mycobacterium tuberculosis at bacteriological urine examination. Medical treatment with multiple drug chemotherapy was administered for one year and proved successful.