Gross hematuria associated with genitourinary tuberculosis

• Published in: Chonnam medical journal Vol. 49; no. 1; pp. 48 - 49
• Main Authors: Bae, Eun Hui, Heo, Sukhee, Kim, Yeong Hui, Hwang, In Sang, Choi, Joon Seok, Kim, Chang Seong, Ma, Seong Kwon, Kim, Soo Wan
• Format: Journal Article
• Language: English
• Published: Korea (South) Chonnam National University Medical School 01.04.2013; 의과학연구소
• Subjects: Images in Clinical Medicine; 의학일반; Hematuria; Acute kidney injury; Tuberculosis
• ISSN: 2233-7385; 2233-7393
• DOI: 10.4068/cmj.2013.49.1.48

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.