title: [Diagnostic image (394). A man with a tissue fragment in the urine. Papillary necrosis].
abstract: A 54-year-old man with chronic renal failure due to diabetic nephropathy presented with macroscopic haematuria and excretion of necrotic tissue in the urine as a sign of papillary necrosis.
authors.affiliation: Sint Franciscus Gasthuis, afd. Interne Geneeskunde, Rotterdam. kkant@amphia.nl
authors.forename: K M
authors.initials: KM
authors.lastname: Kant
authors.forename: A P
authors.initials: AP
authors.lastname: Rietveld
mesh_terms: D048909:Diabetes Complications; D006801:Humans; D007150:Immunohistochemistry; D007668:Kidney / Q000473:pathology*; D007681:Kidney Papillary Necrosis / Q000175:diagnosis* / Q000652:urine*; D008297:Male; D008875:Middle Aged; D016482:Urinalysis