ABSTRACT
Xanthogranulomatous pyelonephritis is an atypical form of severe renal parenchymal infection, characterized by yellow lobulated masses macroscopically and massive inflammatory cell, foamy histiocyte microscopically. Preoperative diagnosis confused with hypernephroma, pyonephrosis with stone, other renal inflammatory disease. We report two cases of xanthogranulomatous pyelonephritis, diagnosed by microscopical finding and literature has been reviewed briefly.
Subject(s)
Carcinoma, Renal Cell , Diagnosis , Histiocytes , Pyelonephritis, Xanthogranulomatous , PyonephrosisABSTRACT
Since MacLean's observation of the possibility of imipramine hydrochloride usefulness in 1960, it has been widely used in the therapy of childhood enuresis. The authors observed 25 cases receiving imipramine therapy and urethral dilatation for primary nocturnal enuresis. Of the 25 patients, 18 boys and 7 girls 4 to 18 years old, in this study, 8 received urethral dilatation because of lower urinary tract stricture. 2 of 8 were no more bed-wetting during sleep. But the other 6were persistent enuretic. 23 cases, 17 without urinary tract disorder and the above 6, were taken imipramine hydrochloride 50mg or 75rag according to the body weight of patients for 28 days one hour before bedtime. During the therapy with imipramine, the effect was excellent in 11 cases, fair in 10 and no effect in 2. After the cessation of the drug, follow-up observation was done at least 1 month. The response was as followed; Complete response in 4 cases, good response in 10, transient response in 7 and no response in 2. Over-all results of complete and good response to the enuretic children through both the administration of imipramine and instrumental dilatation of urethral stricture were 16 case(64%), transient response in 7 cases(28%) and no effect in 2 cases(8%).
Subject(s)
Adolescent , Child , Female , Humans , Body Weight , Constriction, Pathologic , Dilatation , Enuresis , Follow-Up Studies , Imipramine , Nocturnal Enuresis , Urethral Stricture , Urinary TractABSTRACT
Renal angiography is a highly valuable diagnostic procedure for the detection and exact evaluation of various renal disease, especially differentiation of benign and malignant lesions. During the period of January 1978 to December 1983, 39patients who had been taken renal angiography were analysed and following results were obtained. 1. Male to female ratio of performing renal angiography was approximately 1:1 and peak incidence was fifth decade. 2. Indication of renal angiography was renal mass, abnormal I.V.P. and R.G.P., renal bleeding, kidney donor, hypertension, in order of its frequency. 3. The most frequent diagnosis encountered was renal cell carcinoma (15 cases), diagnostic accuracy of renal angiography was 93.3%. 4. Arterial embolization of renal cell carcinoma was tried in 2 cases preoperatively, and it was found that this was a valuable method in reducing blood loss, in performing operation.