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Tuberculous autonephrectomy
n e p hro lo gy i mage
http://www.kidney-international.org © 2006 International Society of Nephrology
Kidney International (2006) 69, 1924. doi:10.1038/sj.ki.5001557
Tuberculous autonephrectomy S-Y Li1, K-L Wang2, J-Y Chen3 and T-W Chen3 1Division of Nephrology, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; 2Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; and 3Division of Nephrology, Department of Medicine, Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University, Taipei, Taiwan Correspondence: J-Y Chen, Division of Nephrology, Department of Internal Medicine, Taipei Veterans General Hospital, 201, Sec. 2, Shih-Pai Road, Taipei, Taiwan, 112. E-mail: [email protected]
Figure 1 | Plain film showed oval-shaped calcifications over the left abdomen.
Figure 2 | A non-contrast computed tomography scan demonstrated autonephrectomy of the left kidney and hydronephrosis of the right kidney.
A 55-year-old woman presented with fever, turbid urine, and right-flank pain. She had a past history of renal tuberculosis at age 17. Plain films of her abdomen showed five ovoid rings of calcification over the left-flank region (Figure 1). An abdominal computed tomography scan demonstrated marked dilatation of the left renal pelvicaliceal system with thinning and calcification of the parenchyma (Figure 2). Right-sided hydronephrosis
was due to the stricture of the ureter. Urine culture grew out Escherichia coli. Acid-fast stain, tuberculous culture, and tuberculosis polymerase chain reaction were all negative. The patient was treated by right percutaneous nephrostomy and intravenous antibiotic administration. Her symptoms and pyuria resolved in 1 week. Renal tuberculosis can be associated with autonephrectomy of the kidney and ureteral strictures.
1924
Kidney International (2006) 69
http://www.kidney-international.org © 2006 International Society of Nephrology
Kidney International (2006) 69, 1924. doi:10.1038/sj.ki.5001557
Tuberculous autonephrectomy S-Y Li1, K-L Wang2, J-Y Chen3 and T-W Chen3 1Division of Nephrology, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; 2Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; and 3Division of Nephrology, Department of Medicine, Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University, Taipei, Taiwan Correspondence: J-Y Chen, Division of Nephrology, Department of Internal Medicine, Taipei Veterans General Hospital, 201, Sec. 2, Shih-Pai Road, Taipei, Taiwan, 112. E-mail: [email protected]
Figure 1 | Plain film showed oval-shaped calcifications over the left abdomen.
Figure 2 | A non-contrast computed tomography scan demonstrated autonephrectomy of the left kidney and hydronephrosis of the right kidney.
A 55-year-old woman presented with fever, turbid urine, and right-flank pain. She had a past history of renal tuberculosis at age 17. Plain films of her abdomen showed five ovoid rings of calcification over the left-flank region (Figure 1). An abdominal computed tomography scan demonstrated marked dilatation of the left renal pelvicaliceal system with thinning and calcification of the parenchyma (Figure 2). Right-sided hydronephrosis
was due to the stricture of the ureter. Urine culture grew out Escherichia coli. Acid-fast stain, tuberculous culture, and tuberculosis polymerase chain reaction were all negative. The patient was treated by right percutaneous nephrostomy and intravenous antibiotic administration. Her symptoms and pyuria resolved in 1 week. Renal tuberculosis can be associated with autonephrectomy of the kidney and ureteral strictures.
1924
Kidney International (2006) 69