Koch’s Disease Presenting as an Isolated Testicular Mass-An Unusual Occurance

Isolated testicular tuberculosis (TB) is rarely seen. A 72-year-old, farmer presented with complaints of discharging sinus from scrotum along with pain and swelling. The patient had no sign of tuberculosis. On examination a hard mass arising from the left testis was noted along with a discharging...

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Main Authors: Rachna Lamichaney, Deepak Das, Mingma Sherpa
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2014-09-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/4876/8492_CE(Ra)_F(Sh)_PF1(SNAK)_PFA(Sh)_PF2(PAG).pdf
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author Rachna Lamichaney
Deepak Das
Mingma Sherpa
author_facet Rachna Lamichaney
Deepak Das
Mingma Sherpa
author_sort Rachna Lamichaney
collection DOAJ
description Isolated testicular tuberculosis (TB) is rarely seen. A 72-year-old, farmer presented with complaints of discharging sinus from scrotum along with pain and swelling. The patient had no sign of tuberculosis. On examination a hard mass arising from the left testis was noted along with a discharging fistula on the overlying scrotal skin. Chest x-ray and ultrasound examination of the abdomen were within normal limits. After assessing the testicular mass, an informed consent was taken thereafter left orchiectomy and fistulectomy performed. Histopathological examination revealed caseating granulomas along with numerous Langhan’s giant cells consistent with tuberculous orchitis. The patient received anti-TB treatment for six months. The rare involvement of testis by tuberculosis needs to be mentioned.
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spelling doaj.art-c1b6d8cdfda44c2f88a87fab58da1a272022-12-21T19:48:31ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2014-09-0189FD13FD1410.7860/JCDR/2014/8492.4876Koch’s Disease Presenting as an Isolated Testicular Mass-An Unusual OccuranceRachna Lamichaney0Deepak Das1Mingma Sherpa2Assistant Professor, Department of Pathology, Sikkim Manipal Institue of medical Sciences, Tadong, Sikkim, India.Assistant Professor, Department of Pathology, Sikkim Manipal Institue of medical Sciences, Tadong, Sikkim, India.Assistant Professor, Department of Pathology, Sikkim Manipal Institue of medical Sciences, Tadong, Sikkim, India.Isolated testicular tuberculosis (TB) is rarely seen. A 72-year-old, farmer presented with complaints of discharging sinus from scrotum along with pain and swelling. The patient had no sign of tuberculosis. On examination a hard mass arising from the left testis was noted along with a discharging fistula on the overlying scrotal skin. Chest x-ray and ultrasound examination of the abdomen were within normal limits. After assessing the testicular mass, an informed consent was taken thereafter left orchiectomy and fistulectomy performed. Histopathological examination revealed caseating granulomas along with numerous Langhan’s giant cells consistent with tuberculous orchitis. The patient received anti-TB treatment for six months. The rare involvement of testis by tuberculosis needs to be mentioned.https://jcdr.net/articles/PDF/4876/8492_CE(Ra)_F(Sh)_PF1(SNAK)_PFA(Sh)_PF2(PAG).pdfcaseous necrosiscaseating granulomasdischarging sinusorchitis
spellingShingle Rachna Lamichaney
Deepak Das
Mingma Sherpa
Koch’s Disease Presenting as an Isolated Testicular Mass-An Unusual Occurance
Journal of Clinical and Diagnostic Research
caseous necrosis
caseating granulomas
discharging sinus
orchitis
title Koch’s Disease Presenting as an Isolated Testicular Mass-An Unusual Occurance
title_full Koch’s Disease Presenting as an Isolated Testicular Mass-An Unusual Occurance
title_fullStr Koch’s Disease Presenting as an Isolated Testicular Mass-An Unusual Occurance
title_full_unstemmed Koch’s Disease Presenting as an Isolated Testicular Mass-An Unusual Occurance
title_short Koch’s Disease Presenting as an Isolated Testicular Mass-An Unusual Occurance
title_sort koch s disease presenting as an isolated testicular mass an unusual occurance
topic caseous necrosis
caseating granulomas
discharging sinus
orchitis
url https://jcdr.net/articles/PDF/4876/8492_CE(Ra)_F(Sh)_PF1(SNAK)_PFA(Sh)_PF2(PAG).pdf
work_keys_str_mv AT rachnalamichaney kochsdiseasepresentingasanisolatedtesticularmassanunusualoccurance
AT deepakdas kochsdiseasepresentingasanisolatedtesticularmassanunusualoccurance
AT mingmasherpa kochsdiseasepresentingasanisolatedtesticularmassanunusualoccurance