TY - JOUR
T1 - "the Great Masquerader"
T2 - Sonographic pictorial review of testicular tuberculosis and its mimics
AU - Nepal, Pankaj
AU - Ojili, Vijayanadh
AU - Songmen, Swachchhanda
AU - Kaur, Neeraj
AU - Olsavsky, Thomas
AU - Nagar, Arpit
N1 - Publisher Copyright:
©2019 Published by Scientific Scholar on behalf of Journal of Clinical Imaging Science.
PY - 2019
Y1 - 2019
N2 - Testicular tuberculosis (TB) is an uncommon presentation of extrapulmonary TB. Although rare in incidence, it is a great masquerader and should be kept in consideration while assessing focal abnormalities involving the testis. Ultrasound findings alone may be non-specific and mimic other diagnoses including infection, inflammation, tumor, infarct, and trauma. The main objective of this sonographic pictorial review is to discuss the imaging findings, specific differentiating features against each differential and use of ancillary imaging findings whenever available. Concurrent involvement of epididymis, septated hydrocele, scrotal wall edema, and calcification of tunica vaginalis provides strong evidence in an appropriate setting. Available extratesticular ancillary imaging findings must be correlated for correct diagnosis due to non-specific imaging and clinical presentation. Misdiagnosis of scrotal TB may lead to otherwise avoidable epididymo-orchiectomy.
AB - Testicular tuberculosis (TB) is an uncommon presentation of extrapulmonary TB. Although rare in incidence, it is a great masquerader and should be kept in consideration while assessing focal abnormalities involving the testis. Ultrasound findings alone may be non-specific and mimic other diagnoses including infection, inflammation, tumor, infarct, and trauma. The main objective of this sonographic pictorial review is to discuss the imaging findings, specific differentiating features against each differential and use of ancillary imaging findings whenever available. Concurrent involvement of epididymis, septated hydrocele, scrotal wall edema, and calcification of tunica vaginalis provides strong evidence in an appropriate setting. Available extratesticular ancillary imaging findings must be correlated for correct diagnosis due to non-specific imaging and clinical presentation. Misdiagnosis of scrotal TB may lead to otherwise avoidable epididymo-orchiectomy.
KW - Ancillary imaging
KW - Mimics
KW - Testicular tuberculosis
KW - Ultrasound
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U2 - 10.25259/JCIS-14-2019
DO - 10.25259/JCIS-14-2019
M3 - Article
C2 - 31448178
AN - SCOPUS:85071548341
SN - 2156-7514
VL - 9
SP - 1
EP - 6
JO - Journal of Clinical Imaging Science
JF - Journal of Clinical Imaging Science
IS - 27
ER -