This 70-year-old diabetic Cree woman presented to a community urologist with chronic recurrent bacterial urinary tract infections and was referred to our tertiary stone centre for PCNL of her "staghorn stone" in the left atrophic kidney
1985 1995 1997-2000 2000 2001 2005-2006 HD TRx- HD HD HD Edema, Chronic Nephrectomy Hurkitt atrophic renal lymphoma kidney failure, stage 5 CysA- R-CHOP azathioprine- pednisolone 1985 2007-2009 2009-2010 HD TRx- Edema, atrophic kidney
Sirolimus MMF Prednisolone Trx: Renal transphinttion, HD: Hemodialysis, CysA: Cyclosporin A, MMF: inycophcnoLite mofetil.
6%) patient, atrophic kidney
in 3 (20%) patients, and protracted loin pain in non-functioning kidney in 4 (26.
The weight reduction, in spite of the presence of cysts and their content, is due to the fact that cysts develop not from a normal kidney but from a severely atrophic kidney
associated with ESRD.
Upon exploration, the left atrophic kidney
was found with excessive dilated ureter at the right side, just superior to the bladder.
A similar third mass (2 x 3 x 2 cm) was in the posterior aspect of the abdomen between the dark red and variably atrophic kidneys
and firmly attached to the synsacrum (Fig 1A).
On imaging, ACD-RCC appears as a heterogeneously enhancing solid mass either within the atrophic kidneys
or kidneys with multiple cysts secondary to acquired cystic kidney disease (Figure 8).