Kidney mounted to show the outer surface in which there are a number of shallow scars and multiple
cysts, up to 0.3 cm. in diameter. The reverse side shows cortex of relatively normal thickness, but
there is perhaps some increase in the peripelvic fat.
This was an incidental finding in a woman who had had Werthein's hysterectomy for a
carcinoma of the cervix; she ultimately developed intestinal obstruction due to postoperative
adhesions, and died with acute tubular necrosis of the kidneys and bronchopneumonia. The histology
of the kidneys demonstrated acute tubular necrosis, not apparent of course to the naked eye, and
also showed non-specific cortical scarring.