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Genitourinary Tuberculosis: A Rare Cause of Obstructive Uropathy in Pregnancy

机译：泌尿生殖系统结核：妊娠期梗阻性尿病的罕见原因

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Background. A rare but morbid form of extrapulmonary tuberculosis (TB), genitourinary TB is an important cause of obstructive uropathy and is likely underdiagnosed in pregnancy.Case. A 30-year-old primigravida undergoing treatment for active pulmonary TB presented with anuria at 13-14-weeks gestation. Bilateral ureteral strictures above the level of the ureterovesicular junctions were seen on imaging studies. Given her pulmonary disease, her obstructive uropathy was attributed to genitourinary TB. Bilateral percutaneous nephrostomy tubes were placed during pregnancy with successful ureteral reimplantation postpartum.Conclusion. Genitourinary TB should be considered as an etiology of urinary tract pathology during pregnancy, especially in foreign-born and immunocompromised persons. Early recognition resulting in prompt treatment can prevent further deterioration of maternal renal function and optimize pregnancy outcomes.
机译：背景。泌尿生殖系统结核病是一种罕见但病态的肺外结核（TB），是阻塞性尿路病的重要原因，在怀孕期间可能未得到充分诊断。一名接受活动性肺结核治疗的30岁初产妇在妊娠13-14周时出现无尿症。在影像学研究中发现双侧输尿管狭窄高于输尿管小结。考虑到她的肺部疾病，她的阻塞性尿毒症归因于泌尿生殖系统结核。妊娠期间放置双侧经皮肾造瘘管，产后成功输尿管再植。泌尿生殖系统结核病应被视为妊娠期间泌尿道病理的病因，尤其是在外国出生且免疫功能低下的人中。早期识别导致及时治疗可以防止孕妇肾功能进一步恶化并优化妊娠结局。

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