Détail du document
Identifiant
doi:10.1186/s12301-023-00406-x...
Auteur
Dhakne, Babasaheb Gite, Venkat ArjunraoLangue
enEditeur
Springer
Catégorie
Urology
Année
2024
Date de référencement
21/02/2024
Mots clés
giant hydronephrosis pelvi-ureteric junction obstructio... xanthogranulomatous pyelonephritis... hydronephrosis report rare xanthogranulomatous pyelonephritisRésumé
Background Xanthogranulomatous pyelonephritis (XGP) is common in middle-age female, involved kidney usually is hydronephrotic, non-functioning and associated with stones but giant hydronephrotic presentation is a very rare.
Case presentation We report a case of 25-year-old female presented as huge cystic abdominal lump involving left hemi-abdomen and crossing midline associated with pain.
On radiological evaluation, she had giant left non-functioning hydronephrotic kidney pushing small and large bowel on right side for which she underwent open simple nephrectomy.
To our surprise, her histopathology report was Xanthogranulomatous pyelonephritis.
Only one case reported till date of Xanthogranulomatous pyelonephritis presented as giant hydronephrosis in adult.
Conclusion Xanthogranulomatous pyelonephritis is very rare cause of giant hydronephrosis with a varying clinical and radiological presentation and difficult to diagnose preoperatively.
Diagnosis of XGP should be entertained in case long-standing gross hydronephrotic obstructed, infected kidney with stone disease.
Dhakne, Babasaheb,Gite, Venkat Arjunrao, 2024, Xanthogranulomatous pyelonephritis presenting as giant hydronephrosis in young women: a very rare case report, Springer
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