Research and Reports in Urology (Oct 2023)

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

  • Issack FH,
  • Bogale NT,
  • Hassen SM,
  • Ibrahim AI,
  • Abdi AM,
  • Bore TM,
  • Answar IO

Journal volume & issue
Vol. Volume 15
pp. 479 – 484

Abstract

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Feysel Hassen Issack,1 Nahom Tadesse Bogale,1 Samater Mohammed Hassen,1 Abdulhafiz Idris Ibrahim,2 Abdurahman Mohamed Abdi,1 Tariku Mulatu Bore,3 Isak Omer Answar4 1Urology Unit, Department of Surgery, Jigjiga University Sheik Hassen Yabare Comprehensive Specialized Hospital, Jigjiga, Ethiopia; 2Department of Radiology, Jigjiga University Sheik Hassen Yabare Comprehensive Specialized Hospital, Jigjiga, Ethiopia; 3Department of Pathology, Jigjiga University Sheik Hassen Yabare Comprehensive Specialized Hospital, Jigjiga, Ethiopia; 4Department of Pathology, University of Gondar, College of Medicine and Health Sciences, Gondar, EthiopiaCorrespondence: Feysel Hassen Issack; Nahom Tadesse Bogale, Urology Unit, Department of Surgery, Jigjiga University Sheik Hassen Yabare Comprehensive Specialized Hospital, PO Box:1020, Jigjiga, Ethiopia, Tel +251932511145, Email [email protected]; [email protected]: 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.Keywords: tuberculosis, acute scrotum, epididymo-orchitis, genitourinary tuberculosis, testicular infarction, orchiectomy

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