Unilateral Papillary Necrosis of Kidney in a Diabetic *A case report at a Clinico-Pathological Conference held on 26th February, 1952, in the Department of Pathology, University of Bristol.

Dr. B. E. McConnell?This old man was an N.H.S. patient of mine. He was the proprietor of four or five taxi-cabs, and still drove himself at the age of 75. He led an extremely active life up till admission to hospital. I saw him first, eighteen months ago when he had epididymo-orchitis, for which I gave sulphamezathine. He refused to go to hospital because of driving his taxi. I did not test his urine because I saw him at home and not at my consulting rooms. In July 1951 he had dysuria and a recurrence of epididymo-orchitis; he agreed to go to the Genitourinary out-patients, where glycosuria was discovered and he was advised by Mr. Ashton Miller to enter hospital for trans-urethral resection of his enlarged prostate. His diabetes was controlled quite easily by diet. He was under investigation as an outpatient until he was admitted as an emergency on October 9th, 1951, because he suddenly developed severe abdominal pain. He was only very slightly febrile. He was definitely tender in the right iliac fossa. I felt that the diagnosis lay between appendicitis and renal infection.