Isolated testicular tuberculosis: a case report.

In this study, a case has been reported involving a 66-year old male who wa s admitted for scrotal pain on the right side with possible testicular invo lvement, but with no associated urinary disorder. At physical examination, the right testicle was found to have increased in volume: this was further confirmed by ultrasonography, but the findings were insufficient to exclude the hypothesis of testicular cancer. An exploratory orchidectomy by upper inguinal route was therefore carried out, and histopathological examination showed the destruction of testicular tissue by several granulomas, and cas eous necrosis with giant cells, Antibacterial chemotherapy was administered after an i.v. urography found no evidence of abnormality or urinary disord er, thereby eliminating an active site of genitourinary tuberculosis. This case shows the importance of considering testicular tuberculosis in the dif ferential diagnosis of testicular enlargement in a region where this diseas e is endemic, despite the absence of systemic pulmonary and urinary signs o f tuberculosis. (C) 2000 Editions scientifiques et medicales Elsevier SAS.