Unusual presentation of tuberculosis in the form of a bilateral renal pseudotumor

Abstract EN

Genitourinary tuberculosis (TB) is a common form of extrapulmonary tuberculosis.

The kidneys are usually affected by hematogenous seeding at the time of primary pulmonary infection.

Genitourinary TB has non-specific clinical presentations and variable radiographic appearances.

We are reporting a case of genitourinary TB presenting as bilateral renal mass.

The patient underwent computed tomography-guided kidney biopsy that showed a granulomatous lesion.

Then, the patient was put on anti-tuberculous treatment with a good response.

We feel that patients having multiple bilateral kidney lesions should undergo biopsy to determine the nature of the lesion before any surgical intervention.