Sengoku A, Hazama M, Takeda Z, Arakawa S
Department of Urology, Yodogawa Christian Hospital.
Hinyokika Kiyo. 1993 Feb;39(2):189-91.
We report a case of genital tuberculosis occurring in the tunica albuginea and the tunica vaginalis. A 29-year-old man came to our department with the complaint of a nodule in the right scrotum. The physical and radiological examinations revealed no signs of pulmonary or urogenital tuberculosis. The urine and the semen were clear and negative in culture of acid fast bacteria, but the tuberculin reaction was moderately positive. Surgical exploration revealed a white yellowish soybean sized nodule in the surface of the tunica albuginea of the right testicle apart from the epididymidis, and we therefore enucleated it. No abnormalities were found in other parts of the tunica vaginalis, epididymidis or the funiculus. Histopathological examination demonstrated typical tuberculomas in the tunica albuginea and the tunica vaginalis, but the seminiferous tubules were almost intact. We diagnosed this case as tuberculosis arising in the tunica albuginea and the tunica vaginalis and started antituberculosis therapy.
我们报告一例发生于白膜和鞘膜的生殖器结核病例。一名29岁男性因右侧阴囊出现结节前来我科就诊。体格检查和影像学检查均未发现肺部或泌尿生殖系统结核的迹象。尿液和精液均清晰，抗酸杆菌培养呈阴性，但结核菌素反应呈中度阳性。手术探查发现右侧睾丸白膜表面（附睾除外）有一个黄豆大小的黄白色结节，因此我们将其摘除。鞘膜、附睾或精索的其他部位未发现异常。组织病理学检查显示白膜和鞘膜中有典型的结核瘤，但生精小管几乎完整。我们将该病例诊断为白膜和鞘膜结核，并开始抗结核治疗。
