Renal tuberculosis with autonephrectomy

Case contributed by Alexandra Stanislavsky
Diagnosis almost certain

Presentation

Vague abdominal symptoms for investigation

Patient Data

Age: 75 years
Gender: Female

There is dystrophic calcification involving the entire left kidney and punctate calcifications scattered throughout the spleen and liver.

Case Discussion

This case demonstrates the typical appearances of multiorgan chronic tuberculosis within the abdomen. Most striking is the dystrophic calcification of the entire left kidney ("putty kidney") which is in keeping with with tuberculous autonephrectomy. There are also multiple tuberculous granulomas throughout the spleen and liver.

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