Demers Virginie, Pelsser Vincent
Department of Diagnostic Radiology, Jewish General Hospital, Montreal, Canada.
J Radiol Case Rep. 2012 Nov;6(11):16-21. doi: 10.3941/jrcr.v6i11.1100. Epub 2012 Nov 1.
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.
结核性附睾睾丸炎是膀胱卡介苗(BCG)灌注治疗膀胱尿路上皮癌罕见的并发症。我们报告了这样一例病例,描述了其超声表现并复习了相关文献。鉴于其与细菌性附睾睾丸炎、睾丸恶性疾病及睾丸扭转的表现有广泛重叠,讨论了仅基于影像学诊断该病的困难之处。充分了解结核性附睾睾丸炎对于确保正确的诊断和治疗至关重要。