Tuberculosis tb is a disease caused by mycobacterium tuberculosisthe disease remains as an important public health problem in developing countries extrapulmonary tb became more common with the advent of infection with human immunodeficiency virus and by the increase in the number of organ transplantation which also leads to immunosuppression of thousand of persons. The clinical presentation of this form of the disease may be misleading the pseudotumoral type of renal tuberculosis is extremely uncommon we present a case of a 52 year old african woman who presented with urogenital tuberculosis in its pseudotumoral form this case was initially diagnosed and managed as renal cancer. Renal tuberculosis too berku losis an infectious inflammatory reportable disease that is chronic in nature and usually affects the lungs pulmonary tuberculosis although it may occur in almost any part of the body the causative agent is mycobacterium tuberculosis also known as the tubercle bacillus formerly the only other . Tuberculosis involvement of the ureter can result in ureteral strictures which cause a urographic appearance of a rigid irregular pipestem ureter o granulomatous mass lesions in the renal parenchyma can be seen as masses of mixed echogenicity with or without necrotic areas of caseation and calcifications o
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