Unilateral Testicular Infarction a Very Rare Complication of Genital Tuberculosis: A Case Report and Literature Review
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; 2Dep...
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Dove Medical Press
2023-10-01
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| Series: | Research and Reports in Urology |
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| Online Access: | https://www.dovepress.com/unilateral-testicular-infarction-a-very-rare-complication-of-genital-t-peer-reviewed-fulltext-article-RRU |
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| author | Issack FH Bogale NT Hassen SM Ibrahim AI Abdi AM Bore TM Answar IO |
| author_facet | Issack FH Bogale NT Hassen SM Ibrahim AI Abdi AM Bore TM Answar IO |
| author_sort | Issack FH |
| collection | DOAJ |
| description | 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 feyselh@gmail.com; Tadnahi2@gmail.comBackground: 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 |
| first_indexed | 2024-03-11T14:20:16Z |
| format | Article |
| id | doaj.art-4b1f4f2f1ba840e3ac6d11d973d6db62 |
| institution | Directory Open Access Journal |
| issn | 2253-2447 |
| language | English |
| last_indexed | 2024-03-11T14:20:16Z |
| publishDate | 2023-10-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Research and Reports in Urology |
| spelling | doaj.art-4b1f4f2f1ba840e3ac6d11d973d6db622023-10-31T17:33:54ZengDove Medical PressResearch and Reports in Urology2253-24472023-10-01Volume 1547948487767Unilateral Testicular Infarction a Very Rare Complication of Genital Tuberculosis: A Case Report and Literature ReviewIssack FHBogale NTHassen SMIbrahim AIAbdi AMBore TMAnswar IOFeysel 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 feyselh@gmail.com; Tadnahi2@gmail.comBackground: 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, orchiectomyhttps://www.dovepress.com/unilateral-testicular-infarction-a-very-rare-complication-of-genital-t-peer-reviewed-fulltext-article-RRUtuberculosisacute scrotumepididymo-orchitisgenitourinary tuberculosistesticular infarctionorchiectomy |
| spellingShingle | Issack FH Bogale NT Hassen SM Ibrahim AI Abdi AM Bore TM Answar IO Unilateral Testicular Infarction a Very Rare Complication of Genital Tuberculosis: A Case Report and Literature Review Research and Reports in Urology tuberculosis acute scrotum epididymo-orchitis genitourinary tuberculosis testicular infarction orchiectomy |
| title | Unilateral Testicular Infarction a Very Rare Complication of Genital Tuberculosis: A Case Report and Literature Review |
| title_full | Unilateral Testicular Infarction a Very Rare Complication of Genital Tuberculosis: A Case Report and Literature Review |
| title_fullStr | Unilateral Testicular Infarction a Very Rare Complication of Genital Tuberculosis: A Case Report and Literature Review |
| title_full_unstemmed | Unilateral Testicular Infarction a Very Rare Complication of Genital Tuberculosis: A Case Report and Literature Review |
| title_short | Unilateral Testicular Infarction a Very Rare Complication of Genital Tuberculosis: A Case Report and Literature Review |
| title_sort | unilateral testicular infarction a very rare complication of genital tuberculosis a case report and literature review |
| topic | tuberculosis acute scrotum epididymo-orchitis genitourinary tuberculosis testicular infarction orchiectomy |
| url | https://www.dovepress.com/unilateral-testicular-infarction-a-very-rare-complication-of-genital-t-peer-reviewed-fulltext-article-RRU |
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