Isolated genital tuberculosis is rare. We present a case of bilateral tuberculous epididymo-orchitis showing high FDG uptake on FDG PET/CT. In addition, the patient had a prostatic FDG-avid lesion, consistent with tuberculous prostatitis. This case indicates tuberculous epididymo-orchitis, especially in tuberculosis-endemic regions, should be considered as a differential diagnosis in patients with hypermetabolic epididymal or testicular lesions, including benign and malignant tumors, bacterial epididymo-orchitis, abscess, idiopathic granulomatous orchitis, and sarcoidosis.
From the Departments of *Nuclear Medicine
‡Ultrasound, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou
§Department of Nuclear Medicine, Changhai Hospital, Second Military Medical University, Shanghai, China.
Received for publication March 4, 2019; revision accepted March 21, 2019.
Conflicts of interest and sources of funding: none declared.
Correspondence to: Pengcheng Ran, MM, Department of Nuclear Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, 111 Dade Road, Yuexiu District, Guangzhou 510120, Guangdong Province, China. E-mail: firstname.lastname@example.org.
Online date: May 17, 2019