Masroor I, Hashmi R.
View Box Case - 4.
J Pak Med Assoc Jan ;52(4):187-8.

A 55 years old male, known case of genitourinary tuberculosis, presented with fever, abdominal pain and pyuria. On examination he was tender in left lumbar area. Laboratory findings showed increased white cell count of 15,000 and increased ESR. Urine analysis revealed frank pus with few red blood cells. Plain film of the abdomen showed irregular dense calcification in the left renal area opposite the transverse processes of L1-L3 vertebral bodies. There was also dense tubular calcification in line of left distal ureter (Figure 1). Intravenous pylography showed normally excreting right urinary system with a non-excreting system on left side till 24 hours. Ultrasound examination gave a finding of dense irregular calcification with distal shadowing in left renal area and the normal kidney was replaced by this calcification. Diagnosis: Left sided tuberculous autonephrectomy.

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