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Published on: October 31, 2013
Ulcerative terminal ileitis after BCG therapy for bladder carcinoma
D Satgé1, I Pommepuy, T Hassan
1Laboratoire d'Anatomie Pathologique, Centre Hospitalier, Tulle, France. daniel.satge@ch-tulle.fr
Aim:
We evaluated the aetiology of ulcerative ileitis in a 77-year-old patient receiving BCG therapy for recurring bladder carcinoma.
Methods And Results:
Histological examination, laboratory data and the clinical history allowed us to exclude a classical cause such as Crohn's disease, tuberculosis or ischaemia. The important locoregional reaction suggests a BCG ileitis of the terminal ileum. Intestinal BCG ileitis has been exceptionally described after BCG vaccination.
Conclusion:
Our observation of ulcerative ileitis indicates that a digestive tract location is possible as a reaction to BCG therapy.
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