Patient is treated for an epididymitis for some time without result. There is persistent scrotal swelling and pain.
The epididymo-orchitis on the left side and an inhomogeneous fluid filled epididymal mass on the right side caused by caseous necrosis and the swollen seminal vesicles all with poor response to conventional treatment were suspicious for tuberculosis. Patient had no signs of tuberculosis elsewhere in the body.
A sperm analysis however confirmed the diagnosis Genital tuberculosis.
References
de Cassio Saito O, de Barros N, Chammas MC, Oliveira IR, Cerri GG.Ultrasound of tropical and infectious diseases that affect the scrotum.
Ultrasound Q. 2004 Mar;20(1):12-8.
Türkvatan A, Kelahmet E, Yazgan C, Olçer T. Sonographic findings in tuberculous epididymo-orchitis.
J Clin Ultrasound. 2004 Jul-Aug;32(6):302-5.