Unilateral hypertrophied right kidney and contralateral atrophy of left kidney: In a setting of malignant hypertension – A case report
Journal Title: Perspectives In Medical Research - Year 2013, Vol 1, Issue 1
Abstract
During routine dissection of cadavers for 1st MBBS students in 2009-2010 a normal built adult male cadaver presented with a hypertrophied right kidney and an atrophied left kidney. In the right kidney (16cmx6.5cmx4.5cm) the capsule was difficult to strip off. The cut section showed well demarcated cortex and medulla. Blood clots were present in renal sinuses. Histopathology showed glomerulosclerosis, thyroid casts in atrophic tubules thickening and hyalinization of blood vessels, inflammatory changes in the interstitium. The left kidney (4cmx2.5cmx1cm) showed thinned out cortex on cut section. Calyces were not well distinguished. Capsule was adherent to its surface. Glomerulosclerosis and predominant atrophic changes in the tubules observed in histopathology. Vascular compromise secondary to hypertension caused ischaemic changes in the left kidney. This superimposed with chronic renal infection had resulted into an atrophic left kidney which led to a compensatory hypertrophy of the right kidney.
Authors and Affiliations
Rupshikha Dutta
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