Isolated tuberculosis of tunica albuginea and tunica vaginalis presenting as acute hydrocoele: a diagnostic dilemma

Khan, Salma; Haroon, Naveed; Azami, Rizwan; Bawa, Tufail

doi:10.1136/bcr-2014-207744

Cited by 3 publications

(1 citation statement)

References 11 publications

(23 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Bilateral tuberculous involvement is observed in 34% of cases, 4-50% may present late with an abscess or fistula and 5-10% may have an associated hydrocoele [4] . It has been described that the presentation appears as a painful, rapidly progressing hydrocoele that's due to the isolated involvement of the albuginea and tunica vaginalis [5] . Ultrasonography is currently the best imaging technique to study the scrotum and its contents.…”

Section: Discussionmentioning

confidence: 99%

Isolated tubercular orchi-epididymitis with painful hydrocoele: Case report

Saleh¹,

Oussama²,

Youssef³

et al. 2020

CSRC

View full text Add to dashboard Cite

Testicular tuberculosis is rare and represents only 3% of genitourinary tuberculosis cases. We are reporting a case of tuberculous orchi-epididymitis which was manifesting as a painful hydrocoele knowing that the condition has become favourable with a good evolution after conservative surgical intervention and anti-bacillary treatment. Keywords: Hydrocoele; orchiepididymitis; surgery; tuberculosis

show abstract

Section: Discussionmentioning

confidence: 99%

Isolated tubercular orchi-epididymitis with painful hydrocoele: Case report

Saleh¹,

Oussama²,

Youssef³

et al. 2020

CSRC

View full text Add to dashboard Cite

show abstract

What is beyond testicular torsion and epididymitis? Rare differential diagnoses of acute scrotal pain in adults: A systematic review

Sieger

Quilio

Stolzenburg

2020

Annals of Medicine and Surgery

View full text Add to dashboard Cite

Genital tuberculosis: current status of diagnosis and management

Yadav

Singh

Hemal

et al. 2017

Transl. Androl. Urol.

View full text Add to dashboard Cite

Genitourinary Tuberculosis (GUTB) is the second most common extra-pulmonary manifestation of tuberculosis (Tb) and an isolated involvement of genital organs is reported in 5–30% of the cases. Genital involvement results from primary reactivation of latent bacilli either in the epididymis or the prostate or by secondary spread from the already infected urinary organs. The epididymis are the commonest involved organs affected primarily by a hematogenous mode of spread. Tb is characterized by extensive destruction and fibrosis, thus an early diagnosis may prevent function and organ loss. The gold standard for diagnosis is the isolation and culture of mycobacterium tuberculosis bacilli and in the cases of suspected GUTB, it is commonly looked for in the urinary samples. All body fluid specimens from possible sites of infection and aspirates from nodules must also be subjected to examination. Radiologic investigations including ultrasonography and contrast imaging may provide supportive evidence. Anti-tubercular chemotherapy is the first line of management for all forms of genital Tb and a 6 months course is the standard of care. Most patients with tubercular epididymo-orchitis respond to antitubercular therapy but may require open or percutaneous drainage. Infertility resulting from the tubercular affliction of the genitalia is multifactorial in origin and may persist even after successful chemotherapy. Multiple organ involvement with obstruction at several sites is characteristic and most of these cases are not amenable to surgical reconstruction. Thus, assisted reproduction is usually required. Post treatment, regular annual follow up is recommended even though, with the current multi drug therapy, the chances of relapse are low.

show abstract

Isolated tuberculosis of tunica albuginea and tunica vaginalis presenting as acute hydrocoele: a diagnostic dilemma

Cited by 3 publications

References 11 publications

Isolated tubercular orchi-epididymitis with painful hydrocoele: Case report

Isolated tubercular orchi-epididymitis with painful hydrocoele: Case report

What is beyond testicular torsion and epididymitis? Rare differential diagnoses of acute scrotal pain in adults: A systematic review

Genital tuberculosis: current status of diagnosis and management

Contact Info

Product

Resources

About