Isolated Testicular Tuberculosis in a 9-Year-Old Boy: An Incidental Finding
Journal of Surgery
Volume 7, Issue 4, August 2019, Pages: 101-103
Received: May 17, 2019;
Accepted: Jul. 1, 2019;
Published: Jul. 12, 2019
Views 238 Downloads 33
Hassan Shehu, Department of Surgery, Bingham University Teaching Hospital, Jos, Nigeria
Maryam Shehu, Department of Paediatrics, Bingham University Teaching Hospital, Jos, Nigeria
Oseni Momodu, Department of Surgery, Bingham University Teaching Hospital, Jos, Nigeria
Sunday Gargadi, Department of Surgery, Bingham University Teaching Hospital, Jos, Nigeria
Follow on us
Isolated testicular Tuberculosis (TB) is a rare clinical condition. A 9-year old boy presented to the paediatric surgical clinic with a 3-month history of a painless mass in the right testis and 1-month history of low- grade continuous fever. The boy had normal anthropometry, no abnormal respiratory signs, there was a right hemiscrotal swelling with a solid hard, non- tender mass felt on the upper pole of the right testis. The chest radiograph was normal, histopatholgic results of the mass showed tuberculotic granuloma with caseous necrosis, FBC revealed WBC of 9.7×103/MM3, HCT-33% Platelets-357×103/MM3, Neutrophil-24, Lymphocyte-34, Eosinophils-1O, Monocyte-30, Basophils-2, ESR-26mm/hr, Mantoux-0mm2, Cytology smear revealed a mixed inflammation consisting mainly neutrophils and plasma cells with an eosinophilic background. Hydrocele fluid aspirate for M/C/S showed no significant bacterial growth. To date, no clinical method has been defined for the definitive diagnosis of such cases and the definitive diagnosis is only achieved by surgical exploration and histopathological examination. Testicular tuberculosis (TB), a rare form of (EP-TB), may present with diagnostic challenge.
Cytology, Genitourinary Tuberculosis, Testis, Boy, Jos
To cite this article
Isolated Testicular Tuberculosis in a 9-Year-Old Boy: An Incidental Finding, Journal of Surgery.
Vol. 7, No. 4,
2019, pp. 101-103.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Shugaba AI, Rabiu AM, Uzokwe C, Matthew RM. Tuberculosis of the testis: a case report. Clin Med Insights Case Rep [Internet]. SAGE Publications; 2012 [cited 2018 Sep 28]; 5: 169–72. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23300353.
Article O, Singh JP, Priyadarshi V, Kundu AK, Bera MK, Pal DK. Table 1 : Characteristics GUTB patients in study Table 2 : Site of involvement in IVP in GUTB patients. Indian J Tuberc. 2012; 020 (09903605262): 15–22.
Das A, Batabyal S, Bhattacharjee S, Sengupta A. A rare case of isolated testicular tuberculosis and review of literature. J Fam Med Prim care [Internet]. Wolters Kluwer -- Medknow Publications; 2016 [cited 2018 Sep 29]; 5 (2): 468–70. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27843865.
Papadopoulos A, Bartziokas K, Morphopoulos G, Anastasiadis A, Makris D. A rare case of isolated tuberculous epididymitis in a young man presenting with a swollen testicle Four months: 1–3.
Vuilleumier N. Head-to-Head Comparison of Auto-Antibodies for Cardiovascular Outcome Prediction after Myocardial Infarction: a Prospective Study. J Clin Exp Cardiolog [Internet]. 2011; 02 (11): 9–11. Available from: https://www.omicsonline.org/head-to-head-comparison-of-auto-antibodies-for-cardiovascular-outcome-prediction-after-myocardial-infarction-a-prospective-study-2155-9880.1000169.php?aid=3246.
Report C. Epididymal tuberculosis : Case report. 2008; 2 (June): 38–41.
Sharma SK, Mohan A. Extra-pulmonary tuberculosis. Indian J Med Res. 2004; 120: 316–53.
Lamichaney R, Das D, Sherpa M. Koch’s Disease Presenting as an Isolated Testicular Mass- An Unusual Occurance. J Clin Diagn Res [Internet]. JCDR Research & Publications Private Limited; 2014 Sep [cited 2018 Sep 28]; 8 (9): FD13-5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25386448.
Medical C. Isolated tuberculous epididymitis: A review of forty cases. 2005; 51 (2): 109–11.
Wise GJ, Shteynshlyuger A. An update on lower urinary tract tuberculosis. Curr Urol Rep. 2008; 9: 305–13.
Cabral DA et al. Tuberculous epididymitis as a cause of testicular pseudomalignancy in two young children. pediatr infect Dis 1985; 4: 59-62.
Gorse GJ, Belshe RB, Male genital tuberculosis: a review of the literature with instructive case reports. Rev Infect Dis. 1985; 7 (4): 511-24.
Badmos KB, Tuberculous epididymo-orchitis mimicking a testicular tumour: a case report. African Health Sciences 2012; 12 (3): 396 - 398 http://dx.doi.org/10.4314/ahs.v12i3.24.
Viswaroop BS, Kekre N, Gopalakrishnan G. Isolated tuberculous epididymitis: a review of forty cases. J Postgrad Med [Internet]. [cited 2018 Sep 29]; 51 (2): 109–11, discussion 111. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16006701.
Viveiros F, Tente D, Espiridião P, Carvalho A, Duarte R. [Testicular tuberculosis: case report]. Rev Port Pneumol [Internet]. [cited 2018 Sep 29]; 15 (6): 1193–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19859635.
Taken K, Ekin S, Canbey O, Günes M, Bulut G. SM Gr up SM Journal of Isolated Testicular Tuberculosis Mimicking Testicular Cancer : A Case Report and Literature Review. 2015; 1 (1): 1–3.
Young S C, Kwan J J, Chil H K, Heung J P; Tuberculosis of testis and prostate that mimicked testicular cancer in young male soccer player J Exerc Rehabil ; 2013; 9 (3): 389-393. Available from https://doi.org/10.12965/jer.130046.
Muttarak M, Peh WC et al. Tuberculous epididymitis and epididymo-orchitis: sonographic appearances. AJR Am J Roentgenol 2001; 176: 1459–1466.
Cek M, Lenk S, Naber KG, Bishop MC, Johansen TEB, Botto H, et al. EAU Guidelines for the Management of Genitourinary Tuberculosis. Eur Urol [Internet]. 2005 Sep [cited 2018 Sep 29]; 48 (3): 353–62. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15982799.