There are some clinical features and statistical figures about renal tuberculosis that do not accord with what we take for granted. This exhbit will explain the confused questions about renal tuberculosis. The purpose of this exhbit is to help radiologists to understand the pathogenesis and development of renal tuberculosis, as well as to improve the radiologist’s diagnostic accuracy of renal tuberculosis.
The exhibit will be presented in a quiz format. Key points will be highlighted in the answer of each question. The list of questions includes:
1. Renal tuberculosis (TB) is the most common in urogenital system tuberculosis. But where do TB bacilli come from?
2. Since most renal TB spread through blood line, why 85%-90% patients just discover tuberculosis in unilateral kidney?
3. Since most renal tuberculosis spread from pulmonary tuberculosis, why there is still 7% extrapulmonary patients have only urogenital system tuberculosis without pulmonary tuberculosis?
4. Why hydronephrosis always happens in the contralateral kidney?
5. What’s the mechanism behind autonephrectomy?
Zhao, K,
Wang, X,
Does Renal Tuberculosis Confuse You A Lot?. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14007180.html