"BCGitis": A rare case of tuberculous epididymo-orchitis following intravesical Bacillus Calmette-Guérin therapy
Demers V, Pelsser V. J Radiol Case Rep. 2012 Nov;6(11):16-21. doi: 10.3941/jrcr.v6i11.1100. Epub 2012 Nov 1.


Department of Diagnostic Radiology, Jewish General Hospital, Montreal, Canada.


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.