PMC4078420_01
34-year-old woman with intermittent right flank pain diagnosed with genitourinary tuberculosis. (a) Computed tomography (CT) shows heterogeneous enhancing mass involving the upper and mid pole of the right kidney with aortocaval and paracaval lymphadenopathy(arrow) and (b) contrast enhanced CT scan of the abdomen show presence of rim enhancement with central necrosis in lymph nodes (arrow).
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F1
Contrast-enhanced computed tomography (CECT) showed a heterogeneously enhancing lesion 8 x 7 cm in dimension with areas of necrosis, involving the right kidney with enlarged aortocaval and paraaortic lymph nodes [Figure 1a and b].
34-year-old woman with intermittent right flank pain diagnosed with genitourinary tuberculosis. Section removed during right side nephrectomy shows normal looking kidney (thin arrow and renal mass with pus around it (thick arrow).
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F2
She then underwent right radical nephrectomy [Figure 2].
34-year-old woman with intermittent right flank pain diagnosed with genitourinary tuberculosis. Histopathology slides (a) stained with hematoxylin and eosin (x100) shows presence of multiple granulomas (thick arrow) and (b) stained with Ziehl-Neelsen stain (x100) shows presence of acid-fast bacilli (thin arrow).
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F3
Histopathology showed presence of acid-fast bacilli with multiple granulomas consistent with GUTB [Figure 3a and b].