孤立性睾丸結核と思われる1例

Abstract

A case of isolated right testicular tuberculosis is presented. The patient was a 34-year-old man with chief complaint of painless induration of right scrotal contents. A hard mass of small-finger-head-size could be found on right testis by bimanual palpation, but left scrotal contents were normal. And chest X-ray film and IVP showed no abnormal findings and all laboratory data also showed within normal limits. Cystoscopic findings showed normal mucous membrane and no abnormal changes of both ureteral orifices and bladder neck. The prostate was normal in size and consistence by anal digital examination. So, right high orchiectomy was done under preoperative diagnosis of right testicular tumor. Histological finding was tuberculosis of the testis. Clinically this case might be considered isolated testicular tuberculosis, because no tuberculous changes could be found in any other organs. Tuberculosis of the testis is rare, and a discussion was made on rare urogenital tuberculosis such as that of testis, spermatic cord and tunica vaginalis.