A Case of TB Epididymitis with the Appearance of Scrotum Mass

Abstract A rare case of tuberculosis in a 50-year-old man presented as a scrotal mass from about 2 years ago, which was associated with renal involvement and one side  hydronephrosis. The patient did not recover with usual treatments, and epididimectomy and biopsy and excision of the right epididymis performed and a sample was sent to examine by pathology. Nectrotizing granulomatous inflammation was reported that improved by prescribing anti-tuberculosis drugs completely.In the scrotal masses and epididimiorchitis, the scrotal tuberculosis should be considered as a differential diagnosis by urologist and radiologist colleagues. Because the disease is completely treated by anti-TB drug therapy, it will reduce the delay in diagnosis and unnecessary orchidectomy.