Lawaczeck L, Fischer AK, Norz V, Rausch S, Bedke J, Stenzl A, Amend B. [BCG-induced (bacillus Calmette-Guérin) abdominal granulomatosis after occult bladder perforation].
Urologe A 2021;
60:1184-1187. [PMID:
34100955 DOI:
10.1007/s00120-021-01552-2]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/23/2021] [Indexed: 11/26/2022]
Abstract
We present the case of a 57-year-old man who developed an intraperitoneal bladder fistula with BCG-induced (bacillus Calmette-Guérin) abdominal granulomatosis after transurethral resection of a papillary non-muscle invasive bladder cancer and subsequent BCG-instillation therapy. The bladder fistula was eliminated surgically. The detection of Mycobacterium tuberculosis in the operative sample drawings as well as the histological detection of BCG-granuloma led to specific treatment and a report to the responsible health department.
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