Abstract

Tuberculosis may infect any part of the body. Tuberculous orchitis is a rare disease that usually occurs as a result of direct extension from the epididymis. Only a paucity of cases regarding epididymo-orchitis and scrotal involvement without renal or pulmonary involvement has been reported until today. Isolated tuberculous epididymo-orchitis presents with a clinical picture and radiographic illustrations mimicking a scrotal neoplasm; therefore, diagnosis can be challenging for physicians. We are presenting a case of isolated bilateral tuberculous epidymo-orchitis resulting in infertility and discharging scrotal sinuses which responded to 6 months anti – tuberculous therapy.

Key words: Scrotal sinuses, infertility, tuberculous epididymo-orchitis, extra pulmonary tuberculosis