BCGosis: case report of intravesicular bacille Calmette-Guérin causing upper tract granulomas simulating a renal mass without evidence of ipsilateral vesicoureteral reflux.

Abstract:

:Very rarely, dissemination of intravesical bacille Calmette-Guérin for superficial bladder cancer treatment can lead to a complication in the upper urinary tract. Two mechanisms for dissemination have been proposed: vesicoureteral reflux and hematogenous spread. We report a case of "BCGosis" with the clinical appearance of multifocal renal masses in a patient without ipsilateral reflux. This case highlights the importance of obtaining a renal biopsy in all patients previously treated with bacille Calmette-Guérin presenting with a renal mass. Furthermore, the findings from the present case suggest that vesicoureteral reflux might not be the only mechanism responsible for dissemination of bacille Calmette-Guérin to the upper urinary tract.

journal_name

Urology

journal_title

Urology

authors

Mody GN,Tran V,Landman J

doi

10.1016/j.urology.2008.02.037

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

444.e9-10

issue

2

eissn

0090-4295

issn

1527-9995

pii

S0090-4295(08)00240-9

journal_volume

73

pub_type

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