Tuberculous peritonitis post orchiectomy for testicular tuberculosis; a case report and literature review

Tahaineh, Sakher; Mughli, Rawan Abu; Seetan, Khaled; Alriyalat, Sulieman; Agahi, Daniel

doi:10.1016/j.radcr.2022.12.011

Cited by 3 publications

(4 citation statements)

References 15 publications

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“…7,13,14 The most commonly affected areas of genital TB are the epididymis and prostate. 15 TB can present as a highly painful scrotal mass known as epididymo-orchitis. Several articles state that 80% of patients with TB epididymo-orchitis experience severe scrotal pain, typically ranging from 40-44%, often caused by the complex and sensitive nature of the epididymis.…”

Section: Discussionmentioning

confidence: 99%

“…Findings from USG in TB epididymo-orchitis depend on the pathological stage of disease development and are classified as follows, 1) Diffuse enlargement, heterogeneous hypoechoic; 2) Diffuse enlargement, homogeneous hypoechoic; 3) Nodular enlargement, heterogeneous hypoechoic; and 4) Miliary. 15,20 USG examination is useful but not highly specific, unlike Doppler, which can help differentiate testicular TB from tumors, typically showing central vascularization. TB exhibits peripheral vascularization due to granulomas and reduced flow to the center.…”

Section: Discussionmentioning

confidence: 99%

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Epididymo-Orchitis: A Rare Manifestation of Tuberculosis Infection

Pattiselanno,

Leo

et al. 2024

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Introduction: Tuberculosis (TB) is caused by Mycobacterium tuberculosis (MTB) and now represents a significant global health concern, with an estimated 10 million people infected with TB in 2022, equivalent to 133 incident cases per 100,000 population. Indonesia faces a substantial burden. The World Health Organization (WHO) estimates 969,000 TB cases, with 717,941 confirmed cases reported. Extrapulmonary TB, contributing to 15% of TB cases, affects various areas such as bones, pleura, lymph nodes, genitourinary system, peritoneum, and meninges. Tuberculous epididymo-orchitis, a rare type of extrapulmonary TB, is characterized by MTB infection in the epididymis or testis. Case: A 31-year-old male was presented to the Emergency Department of Budi Rahayu General Hospital, Pekalongan, with a fever, bitter taste, body aches, and cough. Initially hospitalized for five days and discharged upon improvement of symptoms, the patient returned with fatigue, cough, and black stools. After being admitted under internist and pulmonary specialist care due to a suspected left lung TB apical lesion, biomolecular testing (GeneXpert) was performed. Consultation with a urologist revealed scrotal pain, prompting further tests including urine acid-fast bacilli (AFB) examination, testicular ultrasound, and aspiration culture. The patient was diagnosed with TB epididymo-orchitis and treated with a Category 1 TB regimen. Conclusion: TB epididymo-orchitis is a rare case requiring thorough diagnostic evaluation encompassing anamnesis, physical examination, and diagnostic procedures. Early detection and appropriate management are vital in combating this challenging disease.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Epididymo-Orchitis: A Rare Manifestation of Tuberculosis Infection

Pattiselanno,

Leo

et al. 2024

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“…Tuberculosis affecting testes is extremely rare, accounting for only 3% of male genital TB (7,12,14). Testicular involvement is typically secondary to TB epididymitis (6).…”

Section: Discussionmentioning

confidence: 99%

Unilateral Testicular infarction a very rare complication of genitourinary tuberculosis: a case report and literature review

Issack

2023

Preprint

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Background: Tuberculosis is the most ubiquitous infectious disease and is associated with a large number of morbidities and mortalities. It is primarily a disease of the lungs but also affects every organ. In its initial military, its deposits spread to genitourinary organs, although this is not the only mechanism of spread. Isolated genital TB is rare, but testicular infarction is an unusual complication of delayed management, in which surgical intervention is warranted. Case presentation: A 29-year-old male non-smoker presents with painful left scrotal pain of 21 days. Initially managed with intravenous antibiotics, the disease progressed and resulted in testicular infarction. Left orchiectomy was performed, and the specimen was sent for histopathological examination, which revealed features consistent with a testicular tuberculous abscess. Conclusion: Tuberculous Epididymoorchitis (TBEO) with testicular infarction was unusual. It is prudent to consider this in patients presenting with long-standing urinary symptoms, particularly in those unresponsive to the initial antibiotic therapy. It requires a high index of suspicion, especially in TB endemic areas.

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“…Tuberculosis affecting testes is extremely rare, accounting for only 3% of male genital TB. 7 , 13 , 15 Testicular involvement is typically secondary to TB epididymitis. 6 Since there is a tight non-permeable blood-test barrier, metastatic blood-borne inoculation of the tubercle is uncommon and spreads directly from the infected contagious epididymis.…”

Section: Discussionmentioning

confidence: 99%

Unilateral Testicular Infarction a Very Rare Complication of Genital Tuberculosis: A Case Report and Literature Review

Issack,

Bogale,

Hassen

et al. 2023

RRU

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Background Genitourinary tuberculosis is the second most common form of extrapulmonary tuberculosis in developing countries. Isolated genital TB is rare, but testicular infarction is an unusual complication of delayed management, in which surgical intervention is warranted. Case Presentation A 29-year-old male non-smoker presents with painful left scrotal pain of 21 days. Initially managed with intravenous antibiotics, the disease progressed and resulted in testicular infarction. Left orchiectomy was performed, and the specimen was sent for histopathological examination, which revealed features consistent with a testicular tuberculous abscess. Conclusion Tuberculous epididymo-orchitis (TBEO) with testicular infarction was unusual. It is prudent to consider this in patients presenting with long-standing urinary symptoms, particularly in those unresponsive to the initial antibiotic therapy. It requires a high index of suspicion, especially in TB endemic areas.

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Tuberculous peritonitis post orchiectomy for testicular tuberculosis; a case report and literature review

Cited by 3 publications

References 15 publications

Epididymo-Orchitis: A Rare Manifestation of Tuberculosis Infection

Epididymo-Orchitis: A Rare Manifestation of Tuberculosis Infection

Unilateral Testicular infarction a very rare complication of genitourinary tuberculosis: a case report and literature review

Unilateral Testicular Infarction a Very Rare Complication of Genital Tuberculosis: A Case Report and Literature Review

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