This case began as an investigation using computed tomography of a gluteal tuberculous (TB) abscess. This revealed an incidental testicular lesion that was subsequently evaluated with ultrasound. Ultrasound showed a well-defined testicular lesion, ipsilateral epididymal calcification and a hydrocoele. The presence of tuberculosis at other extrapulmonary sites combined with a positive response of the testicular lesion to anti-TB treatment made it possible to establish a diagnosis of TB epidiymo-orchitis. A reduction in the size of the testicular lesion on ultrasound surveillance enabled conservative management avoiding the need for orchidectomy or biopsy.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.