Pseudotumoral tuberculous ureteritis: a case report

Bouchikhi, Ahmed Amine; Amiroune, Driss; Tazi, Mohammed Fadl; Mellas, Soufiane; Elammari, Jalal Eddine; Fassi, Mohammed Jamal El; Khallouk, Abdelhak; Farih, Moulay Hassan

doi:10.1186/1752-1947-7-45

Cited by 8 publications

(3 citation statements)

References 4 publications

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“…Bouchikhi and colleagues reported a patient who presented with left back pain associated with urinary frequency and a few macroscopic episodes of hematuria for the past 6 months [Bouchikhi et al 2013a]. Helical computed tomography revealed a left hydronephrosis and hydroureter secondary to focal wall thickening of the left lumbar ureter.…”

Section: Ugtb and Renal And Urinary System Cancermentioning

confidence: 99%

Diseases masking and delaying the diagnosis of urogenital tuberculosis

Kulchavenya

Kholtobin

2015

Therapeutic Advances in Urology

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As urogenital tuberculosis (UGTB) has no specific clinical features, it is often overlooked. To identify some of the reasons for misdiagnosing UGTB we performed a systematic review. We searched in Medline/PubMed papers with keywords 'urogenital tuberculosis, rare' and 'urogenital tuberculosis, unusual'. 'Urogenital tuberculosis, rare' presented 230 articles and 'urogenital tuberculosis, unusual' presented 81 articles only, a total of 311 papers. A total of 34 papers were duplicated and so were excluded from the review. In addition, we excluded from the analysis 33 papers on epidemiological studies and literature reviews, papers describing non-TB cases and cases of TB another than urogenital organs (48 articles), cases of congenital TB (three articles), UGTB as a case of concomitant disease (16 articles), and UGTB as a complication of BCG-therapy (eight articles). We also excluded 22 articles dedicated to complications of the therapy, which made a total of 164 articles. Among the remaining 147 articles we selected 43 which described really unusual, difficult to diagnose cases. We also included in our review a WHO report from 2014, and one scientific monograph on TB urology. The most frequent reasons for delayed diagnosis were absence typical clinical features of UGTB, and the tendency of UGTB to hide behind the mask of another disease. We can conclude that actually UGTB is not rare disease, but it is often an overlooked disease. The main reasons for delayed diagnosis are vague, atypical clinical features and a low index of suspicion.

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Section: Ugtb and Renal And Urinary System Cancermentioning

confidence: 99%

Diseases masking and delaying the diagnosis of urogenital tuberculosis

Kulchavenya

Kholtobin

2015

Therapeutic Advances in Urology

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“…In UTB, the ureter and bladder are usually involved at a later stage after kidney involvement, as the tuberculous bacteria invade via a descending infection. UTB symptoms are nonspecific and include frequent urination, microscopic haematuria, lumbago, sterile pyuria, acidic urine and persistent cystitis [ 6 ]. Severe urinary tract infections can lead to kidney failure.…”

Section: Discussionmentioning

confidence: 99%

Value of contrast-enhanced ultrasound in the differential diagnosis of ureteral tuberculosis from ureteral malignant tumour in women

Zhang

Yang²,

Xu³

et al. 2023

Epidemiol. Infect.

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This study aimed to evaluate the contrast-enhanced ultrasound (CEUS) features of ureteral tuberculosis (UTB) and ureteral malignant tumor and to explore its application value in the differentiation of UTB from ureteral tumor. The US and CEUS imaging features of 33 and 12 cases of pathologically confirmed UTB and ureteral malignant tumor, respectively, were retrospectively evaluated, and echo of the ureteral wall, abnormal echo of the lumen, degree of

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“…Pseudotumoral involvement of ureter by tuberculosis is uncommon. It is probably due to an extending fibro-inflammatory process in the thickening of the ureteral wall 2,3 .…”

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confidence: 99%

A Rare Case of Pseudotumoral Ureteric Tuberculosis Causing Forniceal Rupture

Hajri¹,

Ferjaoui²,

Baccouche³

et al. 2021

PJMHS

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A 55-year-old woman, with no medical history, presented with acute right flank pain. She had no history of other urinary complaints. On physical examination, the patient was tachycardic (pulse rate: 100bpm) and tachypneic (respiratory rate: 24 breaths/min), blood pressure was11/6 and temperature was 37.4°. The abdominal examination showed severe tenderness in the right flank and the right iliac fossa. All blood reports were normal, including C-reactive protein, cell blood count and serum creatinine. Computed Tomography of the abdomen revealed a right hydronephrosis with delayed phase contrast leak and a retroperitoneal mass of 48x36mm of unknown nature, enhanced after contrast injection, which seemed to compress the right ureter causing the forniceal rupture. A double J ureteral stent was insterted into the right renal cavities with favorable evolution and immediate resolution of pain. Surgical management of the mass was scheduled one month later after the inflammatory phase and resorption of the urinoma. The patient underwent an exploratory laparotomy. Intraoperatively, a tissular retroperitoneal mass of 4 cm was discovered which invadedthe right proximal ureter as well asthe duodenum and the ileocecal pedicle (Figure 1). Resection of the tumor was performed as well as a segmental ureterectomy, right colectomy, and resection of a small portion of the duodenum. Both ureteric and colic anastomosis were then performed along with duodenal suture. The post operative course was uneventful.

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Pseudotumoral tuberculous ureteritis: a case report

Cited by 8 publications

References 4 publications

Diseases masking and delaying the diagnosis of urogenital tuberculosis

Diseases masking and delaying the diagnosis of urogenital tuberculosis

Value of contrast-enhanced ultrasound in the differential diagnosis of ureteral tuberculosis from ureteral malignant tumour in women

A Rare Case of Pseudotumoral Ureteric Tuberculosis Causing Forniceal Rupture

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