Unusual presentations of urogenital tuberculosis

Abstract

Highlights The urogenital tuberculosis is characterized by a non-specific and highly misleading clinical symptomatology. The clinical polymorphism of urogenital tuberculosis leads to a delayed diagnosis and severe complications. The diagnosis is a mixture of clinical, biological, radiological and especially histological arguments. The urogenital tuberculosis can mimic a renal or a bladder cancer requiring often a useless surgical treatment.

A Rare Case of Pseudotumoral Ureteric Tuberculosis Causing Forniceal Rupture

“…Tuberculosis is still endemic in Tunisia. The genitourinary form accounts for 8 to 20% of extrapulmonary tuberculosis cases 1 . Pseudotumoral involvement of ureter by tuberculosis is uncommon.…”

“…This observation clarify the need for clinicians to consider a ureteral tuberculosis diagnosis whenever ureteral thickening is revealed especially in endemic countries. That's why more means of diagnosis such as Quantiferon test and polymerase chain reaction (PCR) should be used before proceeding to unsuited major surgery 1 .…”