Case 117
With discussion
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CASE 117 (November 2015)

Clinical information

A 60-year-old woman presented with acute kidney injury requiring hemodyalisis. Three days before she received an enema with sodium phosphate in preparation for colonoscopy because gastrointestinal symptoms.

A renal biopsy was done, see the images.

Figure 1. H&E, X100.

Figure 2. Masson's trichrome stain, X400.

Figure 3. Methenamine-silver stain, X400.

Figure 4. H&E, X400.

Figure 5. H&E, X400.

Figure 6. H&E, X400.

Figure 7. H&E, X400.

Figure 8. H&E, X400.

Figure 9. Von Kossa, X400.

Direct immunofluorescence for IgA, IgG, IgM, C3, C1q, kappa and lambda: Negative.

What is your diagnosis?

See diagnosis and discussion