In:
Novosti Khirurgii, Vitebsk State Medical University, Vol. 29, No. 3 ( 2021-07-25), p. 370-375
Abstract:
The article represents the authors’ own observation of the patient with xanthogranulomatous pyelonephritis (XPN). Xanthogranulomatous pyelonephritisis a rare form ofchronic bacterial calculous pyelonephritis. Factors predisposingto thedevelopmentof xanthogranulomatous pyelonephritis include the following: the impairment of theurinary flowalong theurinarytract, type II diabetes mellitus, and chronic inflammation of the kidney. XPN is an uncommon cause of chronic pyelonephritis resulting in non-functioning kidneys and poses a preoperative diagnostic dilemma which may mimic other malignant diseases of a kidney (renal cell carcinoma, leiomyosarcoma) and acute pyelonephritis as a bacterial infection causing inflammation of the kidneys (a renal carbuncle). The patient was examined at the urology clinic of .Grodno State Medical University: general clinical blood and urine tests, ultrasound examination, X-ray computed tomography - native and with contrast enhancement, magnetic resonance imaging were performed. The patient underwent nephrectomy due to the impossibility of organ-preserving surgery - removal of a volumetric formation located at the hilum of the kidney and adjacent to the vessels. Histopathologyof the specimen wasconcludedas xanthogranulomatouspyelonephritis. The patientsunderwentMR examinations, ultrasound examination and X-ray computed tomography with contrast enhancement, but adiagnosisofxanthogranulomatous pyelonephritiswas not confirmed unequivocally. The final diagnosis is usually established only after histologic examinationof biopsy specimens of removed kidney.
Type of Medium:
Online Resource
ISSN:
1993-7512
,
2305-0047
Uniform Title:
КСАНТОГРАНУЛЕМАТОЗНЫЙ ПИЕЛОНЕФРИТ - РЕДКАЯ ФОРМА ХРОНИЧЕСКОГО КАЛЬКУЛЕЗНОГО ПИЕЛОНЕФРИТА
DOI:
10.18484/2305-0047.2021.3
DOI:
10.18484/2305-0047.2021.3.370
Language:
Unknown
Publisher:
Vitebsk State Medical University
Publication Date:
2021
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