The Case ∣ Renal failure, sepsis, and bilateral kidney tumors

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Presentation transcript:

The Case ∣ Renal failure, sepsis, and bilateral kidney tumors U. Ott, M. Busch, T. Steiner, J. Schubert, E. Gröne, H.-J. Gröne, G. Wolf Kidney International Volume 73, Issue 6, Pages 787-788 (March 2008) DOI: 10.1038/sj.ki.5002778 Copyright © 2008 International Society of Nephrology Terms and Conditions

Figure 1 Magnetic resonance scan of the kidneys: estasia of the renal pelvis, tumor 21 × 10 mm dorsal of the left renal vein in the T2-weighted image hyperintense infiltrations, and smaller right kidney 8 × 3 cm. Kidney International 2008 73, 787-788DOI: (10.1038/sj.ki.5002778) Copyright © 2008 International Society of Nephrology Terms and Conditions

Figure 2 Computed tomography scan of the kidneys showing both kidneys with multiple circular masses. Kidney International 2008 73, 787-788DOI: (10.1038/sj.ki.5002778) Copyright © 2008 International Society of Nephrology Terms and Conditions

Figure 3 Renal biopsy cylinder showing typical features of xanthogranulomatous pyelonephritis such as granulomatous inflammation and periodic acid-Schiff-positive foam cells (periodic acid-Schiff stain, original magnification ×60). Kidney International 2008 73, 787-788DOI: (10.1038/sj.ki.5002778) Copyright © 2008 International Society of Nephrology Terms and Conditions

Figure 4 The periodic acid-Schiff-positive lipid-laden macrophages are found in the tubulointerstitium in which normal architecture has been completely destroyed (periodic acid-Schiff stain, original magnification ×350). Kidney International 2008 73, 787-788DOI: (10.1038/sj.ki.5002778) Copyright © 2008 International Society of Nephrology Terms and Conditions