KIDNEY - Scarring and retention cysts

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.