BACKGROUND:

This study aims to uncover a number of incidental lesions found  in kidney on autopsy which may have  gone unnoticed during the life of the individual as they did not produce any functional impairment . Autopsies help in the understanding of pathology, to validate the clinical diagnosis and to arrive at the cause of death.

OBJECTIVE:

To discover the spectrum of lesions found on autopsy of the kidney

 and to analyse the incidence of various kidney disorders.

MATERIAL AND METHODS:

This study was conducted in a medical college and teaching hospital. It is a retrospective study of renal specimens of 60 autopsies received in the department of Pathology of Raja Rajeshwari Medical college from Jan 2022 to December 2024. Autolysed kidney specimens were excluded and 60 cases were included in the study. The clinical history was recorded in the proforma for each case. The kidney sample was fixed in 10% formalin and at least two portions were examined after H& E staining.

RESULTS

A total of 60 kidney specimens were examined during autopsy. Out of which 20 (33.3%) kidneys were normal on gross and microscopic examination. Congestion was noticed in 30 ( 50%) , acute tubular necrosis in 13 ( 21.67%) chronic pyelonephritis in 3 (5%), glomerulosclerosis 2 cases (3.3%) haemorrhage 2 cases ( 3.3%) cyst 1 ( 1.67%) and Chronic kidney disease 1(1.66%) Adrenal haemorrhage and Kimmelsteil Wilson lesion in one case each (1.67%)

CONCLUSION:

 Results are comparable to other similar studies   Only 20 ( 33.3%) of kidneys were found to be normal . The remaining had pathological lesions which were found during the autopsy. Hence proving the importance of autopsies in uncovering incidental lesions.

KEY WORDS:

Autopsy lesions, retrospective study, haemorrhage, congestion, glomerulosclerosis,

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