"BCGitis": A rare case of tuberculous epididymo-orchitis following intravesical Bacillus Calmette-Guérin therapy.
Tuberculous epididymo-orchitis is a rare complication of intravesical Bacillus Calmette-Guérin (BCG) therapy for urothelial cancer of the bladder. We present such a case, describe its sonographic appearance and review the literature. The difficulties in diagnosing this condition based on imaging alone, given the extensive overlap with the appearance of bacterial epididymo-orchitis, malignant testicular disease and testicular torsion, are discussed. Adequate knowledge of tuberculous epididymo-orchitis is of capital importance in order to ensure a proper diagnosis and treatment.
Department of Diagnostic Radiology, Jewish General Hospital, Montreal, Canada. virginie.demers@mail.mcgill.ca
Virginie
V
Demers
Vincent
V
Pelsser
D000368:Aged; D001500:BCG Vaccine / Q000009:adverse effects*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D035583:Rare Diseases / Q000139:chemically induced / Q000175:diagnosis; D013733:Testicular Diseases / Q000175:diagnosis* / Q000209:etiology*; D014389:Tuberculosis, Male Genital / Q000175:diagnosis* / Q000209:etiology*; D018608:Ultrasonography, Doppler
D001500:BCG Vaccine
BCGitis; Tuberculous epididymo-orchitis; epididymitis; granulomatous epididymo-orchitis; intravesical Bacillus Calmette-Guérin; tuberculosis