Multiparametric ultrasound findings of tuberculous orchitis following bacillus Calmette-Guérin therapy
Granulomatous bacillus Calmette-Guérin (BCG) infection, both localized and disseminated, as a complication of intravesical therapy for transitional cell carcinoma of the bladder is a recognized but highly unusual phenomenon. We report the case of an 89-year-old gentleman with a history of bladder tr...
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doaj-ac1e43a09f7742e6b4b174893fef46062020-11-24T23:21:59ZengElsevierRadiology Case Reports1930-04332017-12-0112474675110.1016/j.radcr.2017.08.005Multiparametric ultrasound findings of tuberculous orchitis following bacillus Calmette-Guérin therapyRumman Ahmed, MB BS, BSc (Hons), FRCR0Konrad Wolfe, MB ChB, MRCPath1Peter Acher, MA, PGCAP (Eng), FRCS (Urol), PhD2Sidath Liyanage, MB BS (Hons), BSc (Hons), MRCS (Eng), FRCR, DOHNS3Department of Histopathology, Southend University Hospital, Essex, UKDepartment of Urology, Southend University Hospital, Essex, UKDepartment of Radiology, Southend University Hospital, Essex, UKDepartment of Histopathology, Southend University Hospital, Essex, UKGranulomatous bacillus Calmette-Guérin (BCG) infection, both localized and disseminated, as a complication of intravesical therapy for transitional cell carcinoma of the bladder is a recognized but highly unusual phenomenon. We report the case of an 89-year-old gentleman with a history of bladder transitional cell carcinoma and subsequent intravesical BCG instillation of the bladder who presented to his general practitioner with a non-tender lump in his left testis. Histopathologic and microbiological evaluation of the subsequent orchidectomy specimen revealed granuloma formation secondary to BCG infection. The use of bubble contrast agents and elastography in ultrasound to evaluate focal testicular lesions is a relatively novel concept, and we aim to highlight the imaging features of testicular BCG infection using these techniques.http://www.sciencedirect.com/science/article/pii/S1930043317302029BCGOrchitisUltrasoundSonographyContrastElastography |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rumman Ahmed, MB BS, BSc (Hons), FRCR Konrad Wolfe, MB ChB, MRCPath Peter Acher, MA, PGCAP (Eng), FRCS (Urol), PhD Sidath Liyanage, MB BS (Hons), BSc (Hons), MRCS (Eng), FRCR, DOHNS |
spellingShingle |
Rumman Ahmed, MB BS, BSc (Hons), FRCR Konrad Wolfe, MB ChB, MRCPath Peter Acher, MA, PGCAP (Eng), FRCS (Urol), PhD Sidath Liyanage, MB BS (Hons), BSc (Hons), MRCS (Eng), FRCR, DOHNS Multiparametric ultrasound findings of tuberculous orchitis following bacillus Calmette-Guérin therapy Radiology Case Reports BCG Orchitis Ultrasound Sonography Contrast Elastography |
author_facet |
Rumman Ahmed, MB BS, BSc (Hons), FRCR Konrad Wolfe, MB ChB, MRCPath Peter Acher, MA, PGCAP (Eng), FRCS (Urol), PhD Sidath Liyanage, MB BS (Hons), BSc (Hons), MRCS (Eng), FRCR, DOHNS |
author_sort |
Rumman Ahmed, MB BS, BSc (Hons), FRCR |
title |
Multiparametric ultrasound findings of tuberculous orchitis following bacillus Calmette-Guérin therapy |
title_short |
Multiparametric ultrasound findings of tuberculous orchitis following bacillus Calmette-Guérin therapy |
title_full |
Multiparametric ultrasound findings of tuberculous orchitis following bacillus Calmette-Guérin therapy |
title_fullStr |
Multiparametric ultrasound findings of tuberculous orchitis following bacillus Calmette-Guérin therapy |
title_full_unstemmed |
Multiparametric ultrasound findings of tuberculous orchitis following bacillus Calmette-Guérin therapy |
title_sort |
multiparametric ultrasound findings of tuberculous orchitis following bacillus calmette-guérin therapy |
publisher |
Elsevier |
series |
Radiology Case Reports |
issn |
1930-0433 |
publishDate |
2017-12-01 |
description |
Granulomatous bacillus Calmette-Guérin (BCG) infection, both localized and disseminated, as a complication of intravesical therapy for transitional cell carcinoma of the bladder is a recognized but highly unusual phenomenon. We report the case of an 89-year-old gentleman with a history of bladder transitional cell carcinoma and subsequent intravesical BCG instillation of the bladder who presented to his general practitioner with a non-tender lump in his left testis. Histopathologic and microbiological evaluation of the subsequent orchidectomy specimen revealed granuloma formation secondary to BCG infection. The use of bubble contrast agents and elastography in ultrasound to evaluate focal testicular lesions is a relatively novel concept, and we aim to highlight the imaging features of testicular BCG infection using these techniques. |
topic |
BCG Orchitis Ultrasound Sonography Contrast Elastography |
url |
http://www.sciencedirect.com/science/article/pii/S1930043317302029 |
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