Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
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Case Report

Volume 15, Number 11, November 2024, pages 354-358

Epididymo-Orchitis Mimicking Malignancy Resulting From Intravesical Bacillus Calmette-Guerin Immunotherapy for Bladder Cancer: An Attempt to Understand Pathophysiology, Diagnostic Challenges, Patients’ Implications and Future Directions

Figures

Figure 1.
Figure 1. Ultrasound of the testes shows a hypoechoic soft tissue lesion measuring about 24 × 19 mm, with internal vascularity and calcifications, seen inducing a bulge of the testicular capsule with probable extracapsular extension.
Figure 2.
Figure 2. Histopathology of the resected testes shows granulomatous inflammation with multiple well-formed granulomas, extensive areas of caseation necrosis and focal calcification. (a) Necrosis of the testis. (b) Extensive area of granuloma. (c) Areas of caseation necrosis and focal calcification.
Figure 3.
Figure 3. Ziehl-Neilsen staining showed the presence of acid-fast bacilli (arrow).