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A case of putty kidney without pulmonary tuberculosis
Kumar Nishant1, Barun Kumar Sharma, S Joseph Philipraj
1Department of Surgery, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India.
BMJ Case Reports
|June 5, 2013
Summary
A woman with flank pain and hypertension had a non-functioning left kidney, likely autonephrectomy. Surgical removal of the kidney resolved her symptoms and controlled her blood pressure.
Area of Science:
- Nephrology
- Radiology
- Urology
Background:
- A 30-year-old woman presented with chronic flank pain and new-onset hypertension.
- Initial investigations included X-ray and contrast-enhanced CT.
Observation:
- X-ray revealed a dense opacity in the left renal area.
- CT indicated a non-enhancing, non-excretory left kidney, suggestive of autonephrectomy.
Findings:
- A 6-week course of antituberculous therapy (ATT) did not improve symptoms.
- Surgical nephroureterectomy was performed.
Implications:
- The patient experienced complete symptom resolution post-surgery.
- Blood pressure was well-controlled without medication after nephroureterectomy.
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