Xanthogranulomatous pyelonephritis

Case contributed by Bruno Di Muzio , 19 Dec 2013
Diagnosis probable
Changed by Bruno Di Muzio, 19 Dec 2013

Updates to Case Attributes

Race changed from Caucasian to .
Body was changed:

Xanthogranulomatous pyelonephritis is a chronic destructive granulomatous process of renal parenchyma in association with long-term urinary tract obstruction and infection.

Clinical presentantionpresentation includes flank or abdominal pain, lower urinary tract symptoms, fever, palpable mass, hematuria and weight loss.

This case shows a xanthogranulomatous pyelonephritis associated with staghorn calculus and complicated with extensive retroperitoneal abscess.

  • -<p><a href="/articles/xanthogranulomatous-pyelonephritis">Xanthogranulomatous pyelonephritis</a> is a chronic destructive granulomatous process of renal parenchyma in association with long-term <a href="/articles/urinary-tract-obstruction">urinary tract obstruction</a> and infection.</p><p>Clinical presentantion includes flank or abdominal pain, lower urinary tract symptoms, fever, palpable mass, hematuria and weight loss.</p><p>This case shows a xanthogranulomatous pyelonephritis associated with staghorn calculus and complicated with extensive retroperitoneal abscess.</p>
  • +<p><a href="/articles/xanthogranulomatous-pyelonephritis">Xanthogranulomatous pyelonephritis</a> is a chronic destructive granulomatous process of renal parenchyma in association with long-term <a href="/articles/urinary-tract-obstruction">urinary tract obstruction</a> and infection.</p><p>Clinical presentation includes flank or abdominal pain, lower urinary tract symptoms, fever, palpable mass, hematuria and weight loss.</p><p>This case shows a xanthogranulomatous pyelonephritis associated with staghorn calculus and complicated with extensive retroperitoneal abscess.</p>
Diagnostic Certainty was set to .

Updates to Study Attributes

Caption was added:
CT Abdomen and pelvis
Findings was changed:

Large staghorn calculi in the left kidney collecting system. Renal calyces are dilated giving a multloculatedmultiloculated appearance. There is also a retroperitoneal collection that extends along the left iliac and psoas muscle.

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