title: Pseudotumoral tuberculous ureteritis: a case report.
abstract: BACKGROUND
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors: Urology Department, University Hospital of Fez, Rue Zag, Résidence Andalous III, 30070, Quartier Al-Wafae Fès, Morocco. drbouchikhi@gmail.com.
authors: Ahmed-Amine
authors: AA
authors: Bouchikhi
authors: Driss
authors: D
authors: Amiroune
authors: Mohammed Fadl
authors: MF
authors: Tazi
authors: Soufiane
authors: S
authors: Mellas
authors: Jalal Eddine
authors: JE
authors: Elammari
authors: Mohammed Jamal
authors: MJ
authors: El Fassi
authors: Abdelhak
authors: A
authors: Khallouk
authors: Moulay Hassan
authors: MH
authors: Farih