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Peritoneal tuberculosis caused by intravesical instillation with Bacillus Calmette-Guérin (BCG) following nephroureterectomy in a patient with bladder and upper tract urothelial cancer : a case report

Charlotte Allaeys, Pieter De Backer (UGent) , Karel Decaestecker (UGent) , Camille Berquin (UGent) , Karen Decaestecker, Steven Callens (UGent) and Charles Van Praet (UGent)
(2023) ACTA CLINICA BELGICA. 78(3). p.257-260
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Abstract
Background The standard treatment for high-risk non-muscle-invasive bladder cancer (NMIBC) is trans-urethral resection of the bladder (TURB) followed by instillation of Bacillus Calmette-Guerin (BCG). The occurrence of peritoneal tuberculosis after intravesical BCG instillation is extremely rare and difficult to diagnose. Methods We report the case of a 79-year-old man with urothelial cell carcinoma (UCC) of the kidney and bladder who developed peritoneal tuberculosis after consecutive TURB and nephroureterectomy followed by intravesical BCG instillation. Further investigation revealed an undiagnosed bladder leak. Conclusion This case serves as a reminder for urologists to be suspicious for urothelium discontinuity when administering BCG shortly after bladder surgery.
Keywords
tuberculosis, peritoneitis, bladder cancer, urothelial cell carcinoma, Bacillus Calmette-Guerin, Nephroureterectomy

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MLA
Allaeys, Charlotte, et al. “Peritoneal Tuberculosis Caused by Intravesical Instillation with Bacillus Calmette-Guérin (BCG) Following Nephroureterectomy in a Patient with Bladder and Upper Tract Urothelial Cancer : A Case Report.” ACTA CLINICA BELGICA, vol. 78, no. 3, Taylor \& Francis, 2023, pp. 257–60, doi:10.1080/17843286.2022.2110688.
APA
Allaeys, C., De Backer, P., Decaestecker, K., Berquin, C., Decaestecker, K., Callens, S., & Van Praet, C. (2023). Peritoneal tuberculosis caused by intravesical instillation with Bacillus Calmette-Guérin (BCG) following nephroureterectomy in a patient with bladder and upper tract urothelial cancer : a case report. ACTA CLINICA BELGICA, 78(3), 257–260. https://doi.org/10.1080/17843286.2022.2110688
Chicago author-date
Allaeys, Charlotte, Pieter De Backer, Karel Decaestecker, Camille Berquin, Karen Decaestecker, Steven Callens, and Charles Van Praet. 2023. “Peritoneal Tuberculosis Caused by Intravesical Instillation with Bacillus Calmette-Guérin (BCG) Following Nephroureterectomy in a Patient with Bladder and Upper Tract Urothelial Cancer : A Case Report.” ACTA CLINICA BELGICA 78 (3): 257–60. https://doi.org/10.1080/17843286.2022.2110688.
Chicago author-date (all authors)
Allaeys, Charlotte, Pieter De Backer, Karel Decaestecker, Camille Berquin, Karen Decaestecker, Steven Callens, and Charles Van Praet. 2023. “Peritoneal Tuberculosis Caused by Intravesical Instillation with Bacillus Calmette-Guérin (BCG) Following Nephroureterectomy in a Patient with Bladder and Upper Tract Urothelial Cancer : A Case Report.” ACTA CLINICA BELGICA 78 (3): 257–260. doi:10.1080/17843286.2022.2110688.
Vancouver
1.
Allaeys C, De Backer P, Decaestecker K, Berquin C, Decaestecker K, Callens S, et al. Peritoneal tuberculosis caused by intravesical instillation with Bacillus Calmette-Guérin (BCG) following nephroureterectomy in a patient with bladder and upper tract urothelial cancer : a case report. ACTA CLINICA BELGICA. 2023;78(3):257–60.
IEEE
[1]
C. Allaeys et al., “Peritoneal tuberculosis caused by intravesical instillation with Bacillus Calmette-Guérin (BCG) following nephroureterectomy in a patient with bladder and upper tract urothelial cancer : a case report,” ACTA CLINICA BELGICA, vol. 78, no. 3, pp. 257–260, 2023.
@article{01H6VY4MB4NKWN94H0ZRXAJED7,
  abstract     = {{Background The standard treatment for high-risk non-muscle-invasive bladder cancer (NMIBC) is trans-urethral resection of the bladder (TURB) followed by instillation of Bacillus Calmette-Guerin (BCG). The occurrence of peritoneal tuberculosis after intravesical BCG instillation is extremely rare and difficult to diagnose. Methods We report the case of a 79-year-old man with urothelial cell carcinoma (UCC) of the kidney and bladder who developed peritoneal tuberculosis after consecutive TURB and nephroureterectomy followed by intravesical BCG instillation. Further investigation revealed an undiagnosed bladder leak. Conclusion This case serves as a reminder for urologists to be suspicious for urothelium discontinuity when administering BCG shortly after bladder surgery.}},
  author       = {{Allaeys, Charlotte and De Backer, Pieter and Decaestecker, Karel and Berquin, Camille and Decaestecker, Karen and Callens, Steven and Van Praet, Charles}},
  issn         = {{1784-3286}},
  journal      = {{ACTA CLINICA BELGICA}},
  keywords     = {{tuberculosis,peritoneitis,bladder cancer,urothelial cell carcinoma,Bacillus Calmette-Guerin,Nephroureterectomy}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{257--260}},
  publisher    = {{Taylor \& Francis}},
  title        = {{Peritoneal tuberculosis caused by intravesical instillation with Bacillus Calmette-Guérin (BCG) following nephroureterectomy in a patient with bladder and upper tract urothelial cancer : a case report}},
  url          = {{http://doi.org/10.1080/17843286.2022.2110688}},
  volume       = {{78}},
  year         = {{2023}},
}
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