An Unusual Cause of Chronic Scrotal Pain Coexisting with Hydrocele: Isolated Tuberculous Epididymitis
Isolated tuberculous epididymitis (ITE) is a rare condition affecting only the epididymis without clinical evidence of renal involvement. One of the causes of chronic scrotal pain can be ITE, which is usually only diagnosed in the presence of strong clinical suspicion, as it was in this case. The pa...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2019-06-01
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| Series: | Journal of Urological Surgery |
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http://jurolsurgery.org/archives/archive-detail/article-preview/an-unusual-cause-of-chronic-scrotal-pain-coexistin/27488
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| _version_ | 1828019206376914944 |
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| author | İbrahim Kartal Fatih Sandıkçı Ünsal Han Azmi Levent Sağnak Hamit Ersoy |
| author_facet | İbrahim Kartal Fatih Sandıkçı Ünsal Han Azmi Levent Sağnak Hamit Ersoy |
| author_sort | İbrahim Kartal |
| collection | DOAJ |
| description | Isolated tuberculous epididymitis (ITE) is a rare condition affecting only the epididymis without clinical evidence of renal involvement. One of the causes of chronic scrotal pain can be ITE, which is usually only diagnosed in the presence of strong clinical suspicion, as it was in this case. The patient who had chronic scrotal pain and hydrocele and who did not respond to medical treatment for the diagnosis of epididymitis underwent scrotal exploration. The pathology material demonstrated necrotizing and non-necrotizing granulomas in the epididymis and around the small vessels. The Mantoux test performed for differential diagnosis produced a positive result. The polymerase chain reaction done on the pathology material also produced results compatible with mycobacterium tuberculosis. The patient, who did not have postoperative systemic complaints, had his scrotal pain and swelling resolved with the completion of a 6-month anti-tuberculosis medical treatment. In ITE, which is rarely encountered, patients usually present with a painless scrotal mass. It must be taken into account that ITE may unusually cause scrotal pain, and even though not emphasized thoroughly until now, it may be accompanied by hydrocele as in our patient. |
| first_indexed | 2024-04-10T11:15:28Z |
| format | Article |
| id | doaj.art-40bcfd37385144da820fbe5fe6df466f |
| institution | Directory Open Access Journal |
| issn | 2148-9580 2148-9580 |
| language | English |
| last_indexed | 2024-04-10T11:15:28Z |
| publishDate | 2019-06-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Journal of Urological Surgery |
| spelling | doaj.art-40bcfd37385144da820fbe5fe6df466f2023-02-15T16:18:53ZengGalenos YayineviJournal of Urological Surgery2148-95802148-95802019-06-016215916110.4274/jus.galenos.2018.222013049054An Unusual Cause of Chronic Scrotal Pain Coexisting with Hydrocele: Isolated Tuberculous Epididymitisİbrahim Kartal0Fatih Sandıkçı1Ünsal Han2Azmi Levent Sağnak3Hamit Ersoy4 University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Urology, Ankara, Turkiye University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Urology, Ankara, Turkiye University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Pathology, Ankara, Turkiye University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Urology, Ankara, Turkiye University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Urology, Ankara, Turkiye Isolated tuberculous epididymitis (ITE) is a rare condition affecting only the epididymis without clinical evidence of renal involvement. One of the causes of chronic scrotal pain can be ITE, which is usually only diagnosed in the presence of strong clinical suspicion, as it was in this case. The patient who had chronic scrotal pain and hydrocele and who did not respond to medical treatment for the diagnosis of epididymitis underwent scrotal exploration. The pathology material demonstrated necrotizing and non-necrotizing granulomas in the epididymis and around the small vessels. The Mantoux test performed for differential diagnosis produced a positive result. The polymerase chain reaction done on the pathology material also produced results compatible with mycobacterium tuberculosis. The patient, who did not have postoperative systemic complaints, had his scrotal pain and swelling resolved with the completion of a 6-month anti-tuberculosis medical treatment. In ITE, which is rarely encountered, patients usually present with a painless scrotal mass. It must be taken into account that ITE may unusually cause scrotal pain, and even though not emphasized thoroughly until now, it may be accompanied by hydrocele as in our patient. http://jurolsurgery.org/archives/archive-detail/article-preview/an-unusual-cause-of-chronic-scrotal-pain-coexistin/27488 Chronic scrotal painHydroceleIsolated tuberculous epididymitis |
| spellingShingle | İbrahim Kartal Fatih Sandıkçı Ünsal Han Azmi Levent Sağnak Hamit Ersoy An Unusual Cause of Chronic Scrotal Pain Coexisting with Hydrocele: Isolated Tuberculous Epididymitis Journal of Urological Surgery Chronic scrotal pain Hydrocele Isolated tuberculous epididymitis |
| title | An Unusual Cause of Chronic Scrotal Pain Coexisting with Hydrocele: Isolated Tuberculous Epididymitis |
| title_full | An Unusual Cause of Chronic Scrotal Pain Coexisting with Hydrocele: Isolated Tuberculous Epididymitis |
| title_fullStr | An Unusual Cause of Chronic Scrotal Pain Coexisting with Hydrocele: Isolated Tuberculous Epididymitis |
| title_full_unstemmed | An Unusual Cause of Chronic Scrotal Pain Coexisting with Hydrocele: Isolated Tuberculous Epididymitis |
| title_short | An Unusual Cause of Chronic Scrotal Pain Coexisting with Hydrocele: Isolated Tuberculous Epididymitis |
| title_sort | unusual cause of chronic scrotal pain coexisting with hydrocele isolated tuberculous epididymitis |
| topic | Chronic scrotal pain Hydrocele Isolated tuberculous epididymitis |
| url |
http://jurolsurgery.org/archives/archive-detail/article-preview/an-unusual-cause-of-chronic-scrotal-pain-coexistin/27488
|
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