Autopsy Kidneys: An Overlooked Resource

Henriksen, Kammi J.

doi:10.4322/acr.2018.013

Cited by 3 publications

(8 citation statements)

References 19 publications

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“…heart, lungs, stomach and brain. 5 Autopsy kidney specimens with gross morphological anomalies can be a potential source of knowledge about renal pathology and should be emphasized. To conclude, ectopic kidney is an accidental finding, but awareness regarding this issue and its probable signs and symptoms among general population is the need of hour.…”

Section: Discussionmentioning

confidence: 99%

Crossed fused renal ectopia- A rare autopsy based finding

Jahan¹,

Chandra²

2021

IJFMTS

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Crossed fused kidney place in an unusual area are the congenital developmental malformation of urinary tract. There are many variants of ectopic renal presentation. In this malformation both the kidneys are anatomically located at one side of the body over each other and inferior CFRE is the most frequent type observed. The condition is generally asymptomatic and diagnosed as an incidental radiology finding and Multi Detector Computed Tomography (MDCT), urography is the investigation of choice. Autopsy based kidney specimens with gross anomalies can be rich source of knowledge about renal pathology.

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Section: Discussionmentioning

confidence: 99%

Crossed fused renal ectopia- A rare autopsy based finding

Jahan¹,

Chandra²

2021

IJFMTS

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“…The importance of noting these changes is the fact that it provides information on the disease process as most critically ill patients are not biopsied for ante-mortem diagnosis usually 17 . It is important that pathologists pay attention to kidney examination as most medical renal lesions are likely to be missed 7 . Non-neoplastic renal diseases can be as a consequence of systemic disease or primary renal disease 13,18,19 .…”

Section: Discussionmentioning

confidence: 99%

“…In reviewing kidneys from autopsies while looking out for tubulitis, we should also note and rule out the presence of stones, renal casts and tubular necrosis. They could support the overall disease process that was responsible for the death or could even be the terminal event 7 . Glomerular lesions were the dominant histological changes seen.…”

Section: Discussionmentioning

confidence: 99%

“…Or even attribute cause of death to medical renal disease? Henriksen postulated that the examination of kidney and the interpretation by the pathologist is a factor of training in renal pathology and experience 7 , 8 . Also the primary reason for autopsies in most instances (as there is drop in the rate hospital post -mortems) is to establish the cause of death, such that pathologists pay more attention to the heart, lungs and brain 8 .…”

Section: Introductionmentioning

confidence: 99%

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Histomorphological assessment of non-neoplastic renal diseases at autopsy: an institutional experience in Southwestern Nigeria

et al. 2021

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BackgroundAutopsy remains an invaluable resource for medical education and establishing diagnosis of diseases that were missed prior to death. Many patients on admission in hospitals suffer kidney diseases that may contribute to their morbidity and/or mortality. The kidneys from autopsies provide opportunity to diagnose and understand some of these non-neoplastic renal lesions. This study aimed to present the frequency of non-neoplastic renal diseases at autopsy.Methods We conducted a five-year retrospective review of post-mortem records of deceased who had autopsy. Data such as age, sex, cause of death, and kidney lesions were extracted from the post-mortem records and clinical details were gotten from the clinical summaries in the autopsy reports. The kidneys were examined for pathological findings that were then classified into glomerular, tubulointerstitial (tubulointerstitial nephritis and other tubular lesions such as tubular necrosis, casts and fibrosis) and vascular lesions.Results A total of seventy (70) cases met the inclusion criteria with 91.4% having significant non- neoplastic renal lesions. The mean age of the deceased was 57.7years (18years – 91years). Males accounted for 65.7% of the cases. Glomerular lesions were seen in 84.3% of the cases, tubulointerstitial nephritis in 41.6% of cases, vascular lesions were seen in 30% of the cases and other tubular lesions (such as stones, casts and tubular necrosis) were seen in 52.9% of the cases. Cardiovascular diseases and infections were the major causes of death in these patients, accounting for 40% and 27% respectively. Renal diseases were attributed to immediate cause of death in 10% of the cases.Conclusion The kidney at autopsy provides a valuable renal pathology educational tool, as a wide range of medical renal lesions can be seen from kidneys examined at post mortem.

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“…The common conditions included diabetic nephropathy, thrombotic microangiopathy, glomerulonephritis, diseases related to underlying hematologic malignancies and toxic or metabolic tubulointerstitial diseases. 1 Further, it is also a known fact that most of the people with chronic kidney diseases will not have any symptoms as it does not usually cause problems until it reaches an advanced stage. Moreover, in medicolegal autopsies, most of the cases brought for examination are of unknown medical history.…”

Section: Introductionmentioning

confidence: 99%

Pathological findings in kidney in medicolegal autopsies: A study

Neha¹,

Devi²,

Pukhrambam³

et al. 2021

IJFCM

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Most of the chronic kidney diseases will not produce any symptoms till it reaches an advanced stage. In medicolegal autopsies most of the cases are brought with an unknown pathology. This cross sectional study was conducted to assess the gross and histopathological findings of kidney in medicolegal autopsies in the Department of Forensic Medicine and Toxicology of a tertiary care teaching institute in Imphal from 2018 to 2020. Kidney samples from a total of 170 medicolegal cases, comprising of 135 males and 35 females (M:F = 3.8:1), were examined. The prevalence of kidney findings in the present study was 77%. The commonest kidney pathology encountered was tubular necrosis (51.8%) followed by glomerulosclerosis (15.9%). Acute tubular necrosis was found more commonly in deaths due to trauma resulting in shock, haemorrhage and asphyxia. Incidental findings included a case of right solitary kidney and a rare case of right crossed fused renal ectopia. Even though these conditions of the kidneys were not directly responsible for the death of the individuals, they could have contributed to these deaths up to some extent.

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Autopsy Kidneys: An Overlooked Resource

Cited by 3 publications

References 19 publications

Crossed fused renal ectopia- A rare autopsy based finding

Crossed fused renal ectopia- A rare autopsy based finding

Histomorphological assessment of non-neoplastic renal diseases at autopsy: an institutional experience in Southwestern Nigeria

Pathological findings in kidney in medicolegal autopsies: A study

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