Renal tuberculosis simulatingpolycystic kidney disease angiographically |
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| Authors: | M.D. David W. Strong M.D. C. Edward Skeeters M.D. William M. Bennett M.D. Clarence V. Hodges |
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| Affiliation: | Division of Urology, Departments of Surgery andMedicine, University of Oregon Medical School, Portland, Oregon, USA |
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| Abstract: | A unique case of advanced bilateral renal tuberculosis is reported in which a false diagnosis of polycystic kidney disease was made by renal arteriography. Silent ureteral obstruction generated by the infectious process had produced a form of hydronephrosis in which the renal arterial branches were stretched around large, avascular cystic areas without obliteration of small vessels. This produced an angiographic appearance similar to that seen in adult polycystic disease. Following left nephrostomy drainage and antituberculous chemotherapy for one year, repeat renal arteriograms revealed marked improvement in size and function of the left kidney while the right kidney had become autonephrectomized. |
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