"BCGitis": A rare case of tuberculous epididymo-orchitis following intravesical Bacillus Calmette-Guérin therapy

Authors

  • Virginie Demers
  • Vincent Pelsser

DOI:

https://doi.org/10.3941/jrcr.v6i11.1100

Keywords:

Tuberculous epididymo-orchitis, intravesical Bacillus Calmette-Guérin, BCGitis, granulomatous epididymo-orchitis, tuberculosis, epididymitis

Abstract

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.

Author Biographies

Virginie Demers

Diagnostic Radiology Resident, McGill University, Jewish General Hospital

Vincent Pelsser

Associate Professor, McGill University, Jewish General Hospital

Published

2012-11-19

Issue

Section

Genitourinary Radiology