The usual indications are calculus disease, chronic infections, obstruction, trauma, dysplastic / atrophic kidney
or renovascular hypertension due to the renal artery stenosis or severe unilateral parenchymal damage from nephrocalcinosis, pyelonephritis, reflux or congenital dysplasia.
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
1) The atrophic kidney
exhibits segmental loss of parenchyma due to renal scarring, and compensatory hypertrophy in the remnant parenchyma.
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.
In our study, we demonstrate for the first time that unilateral renal artery stenosis (RAS) also leads to a significant increase in the AGE levels both in the plasma and in the clipped atrophic kidney
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).
A renal ultrasound revealed bilateral atrophic kidneys
, and labs were significant for BUN 51 mg/dL, creatinine 4.
Three patients had functionally solitary kidneys at the time of LPN, including two with contralateral atrophic kidneys
and one previous laparoscopic nephrectomy for RCC.