Chan S W, Shalhav A L, Clayman R V
Department of Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
J Endourol. 1998 Aug;12(4):363-4. doi: 10.1089/end.1998.12.363.
A 48-year-old man presented with painless left lateralizing macroscopic hematuria. Ureteroscopy revealed flocculent material in the left kidney and white linear streaks on some upper pole papillae; urine culture from the left renal pelvis was positive for tuberculosis, whereas voided urine cultures were negative. Renal tuberculosis should be included in the differential diagnosis of lateralizing hematuria, especially in the absence of an obvious cause for the bleeding. Direct culture of urine from the renal pelvis may have more sensitivity than culture of voided urine in this circumstance.
一名48岁男性出现无痛性左侧肉眼血尿。输尿管镜检查发现左肾有絮状物质，部分上极乳头有白色线状条纹；左肾盂尿液培养结核杆菌呈阳性，而晨尿培养为阴性。肾结核应纳入单侧血尿的鉴别诊断，尤其是在无明显出血原因的情况下。在这种情况下，肾盂尿液直接培养可能比晨尿培养更具敏感性。
