CASE 184 (June 2021)

Clinical information

A 3-year-old boy with a history of multicystic renal dysplasia, diagnosed by imaging studies, develops end-stage kidney disease. He was transplanted from a cadaveric donor and during the transplant a nephrectomy of one of the kidneys was performed, which is enlarged and with multiple cysts (Figures 1 and 2).

There are no other clinical alterations, normal mental development, there are no malformations or cysts in other organs. There is no family history of kidney disease.

Look at the pictures.

Figure 1.

Figure 2.

Figure 3. H&E, X100.

Figure 4. H&E, X100. Glomerular cysts and nests of embryonic-like tissue, between the cysts there is atrophic kidney tissue.

Figure 5. H&E, X100.

Figure 6. H&E, X100.

Figure 7. H&E, X200.

Figure 8. H&E, X100.

Figure 9. H&E, X100.

Figure 10. H&E, X200. nests of embryonic-like tissue.

Figure 11. H&E, X200.

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