Isolated Epididymal Tuberculosis: A Challenging Diagnosis

There is an increasing number of cases of isolated genital tuberculosis. However, it remains challenging to diagnose this condition. The clinical manifestation is often nonspecific. There are no specific and sensitive noninvasive investigations to help confirm its diagnosis. We report the case of a young patient who presented at the Urology Clinic with chronic left scrotal swelling. We initially considered the diagnosis of either epididymal-testicular tuberculosis or left testicular tumor. An epididymal biopsy was taken. The histology report of the biopsy confirmed the diagnosis of epididymal tuberculosis.