A37-year old man presented with5 months history of left scrotal mass and had underwent left orchidectomy following a presumptive diagnosis of testicular tumour.Histopathological diagnosis of testicular tuberculosis was subsequently made, which revealed a case of isolatedTB orchitis. It signifies that the careful evaluation of patients with testicular mass is extremely significant for diagnostic accuracy, optimal treatment and avoiding unnecessary surgery in case of testicular tuberculosis.Simultaneously it will also help in early detection of testicular malignancies and vital for the clinicians to avoid negligence charges.