DOI: 10.36347/sjmcr.2024.v12i05.090

Pages: 919-922

Testicular tuberculosis is an uncommon manifestation of extrapulmonary tuberculosis that affects the male reproductive system. We present a case report of a 36-year-old man with chronic testicular pain and shrinking of the testicle. Despite the absence of specific symptoms, radiological imaging techniques, including testicular ultrasound and MRI, aided in the diagnosis of testicular tuberculosis. The ultrasound revealed hypoechoic areas with macrocalcifications and infiltration of the epididymis and spermatic cord. The MRI showed specific signal characteristics indicating chronic infection. However, definitive diagnosis relied on histopathological examination through fine needle aspiration cytology. We highlight the challenges associated with diagnosing isolated testicular tuberculosis and emphasize the importance of integrating clinical, radiological, and histopathological findings for accurate diagnosis and appropriate treatment.