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ORIGINAL ARTICLE
Year : 2000  |  Volume : 16  |  Issue : 2  |  Page : 111-115

Calcification in urinary tract tuberculosis


Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India

Correspondence Address:
Vatsala D Trivedi
Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai - 400 022
India
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Source of Support: None, Conflict of Interest: None


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Objective: To review the incidence, nature and importance of cal­cification in urinary tract tuberculosis. Method: The cases of urinary tract tuberculosis from Jan. 1995 to June 1998 were reviewed. 10 out of 32 patients showed evidence of calcification with the incidence of 31.2%. All the patients had renal parenchymal calcification with two cases associated with ureteral calcification. Results: We performed nephroureterectomy in 4 cases who had putty kidney. 2 patients were subjected for polar nephrec­tomy, 1 for showing increase in size on follow-up and the other for associated destruction of polar parenchyma. One of these patients showed evidence of active tuberculosis on histopathology. 4 patients with small areas of calcifi­cation are being followed with yearly x-ray. Conclusion: Calcification in urinary tract tuberculosis can increase in size leading to destruction of parenchyma even on treat­ment. It may also be associated with active tuberculosis. Hence patients should be treated with surgery or followed up intensely with the aim of retaining as much of paren­chyma as possible.


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