What caused Hydronephrosis? Hydronephrosis Associated with Enlarged Lymph Nodes in The Patient with Tuberculous Mesenteric Lymphadenitis

Authors

  • Il Hwan Han Department of General Internal Medicine. Hospital of Pyongyang University of Medical Sciences, Pyongyang, Democratic People’s Republic of Korea.
  • Sun Gum Pyon Department of General Internal Medicine. Hospital of Pyongyang University of Medical Sciences, Pyongyang, Democratic People’s Republic of Korea.
  • Hyang Suk Yu Department of Apparatus Diagnostics. Hospital of Pyongyang University of Medical Sciences, Pyongyang, Democratic People’s Republic of Korea.

DOI:

https://doi.org/10.46966/msjar.v6i4.319

Keywords:

hydronephrosis, ureteral stone, tuberculous mesenteric lymphadenitis

Abstract

Background: A common cause of hydronephrosis is a ureteral stone. Here, we report a rare case of enlarged lymph nodes-induced hydronephrosis.  The patient, who was suffering from fever, flank pain and hydronephrosis, had been treated with antibiotics and lithagogues for 3 months with the suspected diagnosis of calculous pyelonephritis, but had not shown any improvement. Finally, the patient was diagnosed as tuberculous mesenteric lymphadenitis and antituberculous therapy led to the improvement of the disease. So we could have a conclusion that the ureteral narrowing by compression of the tuberculously enlarged lymph nodes, not uretral stone, caused the hydronephrosis.

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Published

2025-12-31

How to Cite

Han, I. H., Pyon, S. G. ., & Yu, H. S. . (2025). What caused Hydronephrosis? Hydronephrosis Associated with Enlarged Lymph Nodes in The Patient with Tuberculous Mesenteric Lymphadenitis. Medical Science Journal for Advance Research, 6(4). https://doi.org/10.46966/msjar.v6i4.319