Gross Hematuria Associated with Genitourinary Tuberculosis
- Author:
Eun Hui BAE
1
;
Sukhee HEO
;
Yeong Hui KIM
;
In Sang HWANG
;
Joon Seok CHOI
;
Chang Seong KIM
;
Seong Kwon MA
;
Soo Wan KIM
Author Information
- Publication Type:Case Report
- Keywords: Tuberculosis; Acute kidney injury; Hematuria
- MeSH: Acute Kidney Injury; Biopsy; Cystoscopy; Emergencies; Hematoma; Hematuria; Hemorrhage; Kidney Pelvis; Mycobacterium tuberculosis; Tuberculosis; Urinary Bladder; Urinary Retention
- From:Chonnam Medical Journal 2013;49(1):48-49
- CountryRepublic of Korea
- Language:English
- Abstract: A 27-year-old man presented to the emergency department with sudden onset of massive gross hematuria and urinary retention. Contrast-enhanced computed tomography imaging showed uneven, dilated calices and a narrowing of the renal pelvis in the left kidney; in addition, a large hematoma was noted in the urinary bladder. An emergency cystoscopy was performed following detection of the hematoma and blood clots were removed. A lesional biopsy, a tuberculosis (TB) culture, and urine cytology showed positive results for Mycobacterium tuberculosis. The clinical manifestations of genitourinary tuberculosis are nonspecific and are usually detected at a chronic stage. In conclusion, we report an unusual cause of acute kidney injury associated with a subacute stage of genitourinary tuberculosis that caused mucosal erosion and bleeding in the bladder.
