Pseudotumoral tuberculous ureteritis: a case report

Journal of Medical Case Reports

Moulay Hassan Farih¹  Abdelhak Khallouk¹  Mohammed Jamal El Fassi¹  Jalal Eddine Elammari¹  Soufiane Mellas¹  Mohammed Fadl Tazi¹  Driss Amiroune¹  Ahmed-Amine Bouchikhi¹ 

[1] Urology Department, University Hospital of Fez, Rue Zag, Résidence Andalous III, 30070, Quartier Al-Wafae Fès, Morocco

关键词: Ureter;    Tuberculosis;    Pseudotumor;   

Others  :  1181274
DOI  :  10.1186/1752-1947-7-45

 received in 2012-10-28, accepted in 2012-12-19,  发布年份 2013

【 摘 要 】

Introduction

Tuberculosis is still endemic in Morocco and the urogenital form is common. This form is characterized by clinical polymorphism. However, the isolated ureteric form is very rare. The differential diagnosis might be raised in tumoral cases while undertaking surgical excision which is the realistic choice. Hence, we report an isolated ureteric tuberculosis case, and we discuss the clinical, imaging, diagnostic and therapeutical features.

Case presentation

A 30-year-old Moroccan man consulted us for left back pain associated with urinary frequency and a few macroscopic episodes of hematuria for the past six months. A computed tomography urography revealed a left hydronephrosis and hydroureter secondary to focal wall thickening of the left lumbar ureter. Hence, we had diagnosed a ureteral tumor. However, a clinical examination showed irritative voiding symptoms and epididymal disorders associated with prostate infection suggesting a Koch’s bacillus assessment of the patient’s urine of which the results proved strongly positive. The treatment consisted of establishing a double-J ureteric stent to drain the left kidney, followed by antituberculous antibiotics.

Conclusion

Urogenital tuberculosis is common in endemic countries, however isolated ureter affection is rare. It is important to consider a ureteral tuberculosis diagnosis whenever ureteral thickening is revealed in a patient living in a country in which tuberculosis is endemic.

【 授权许可】

   
2013 Bouchikhi et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

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