ABSTRACT
Renal replacement lipomatosis is a benign condition that may assume major clinical significance by producing pyelocalyceal deformities that may be mistaken for true renal masses. While the number of reported cases of renal replacement lipomatosis has been relatively small, this entity's prevalence is probably underestimated. We report a case of co-existent massive renal replacement lipomatosis and xanthogranulomatous pyelonephritis.
Subject(s)
Humans , Kidney Diseases/complications , Lipomatosis/complications , Male , Middle Aged , Pyelonephritis, Xanthogranulomatous/complicationsABSTRACT
Apresenta-se o caso de uma paciente com nefrolitíase que, após submeter-se a uma litotripsia, evoluiu com pielonefrite xantogranulomatosa, fístula nefrobrônquica, abscesso pulmonar e septicemia. O tratamento incluiu drenagem da loja renal, drenagem tubular da pleura e do abscesso pulmonar por toracotomia e nefrectomia direita. A bactéria isolada, tanto da loja renal, quanto do abscesso pulmonar, foi a Pasteurella aerogenes, sendo este o primeiro caso na literatura médica mundial relacionado a este patógeno
Subject(s)
Humans , Female , Middle Aged , Bronchial Fistula/microbiology , Pasteurella Infections/complications , Pyelonephritis, Xanthogranulomatous/complications , Drainage , Bronchial Fistula/surgery , Bronchial Fistula/pathology , Magnetic Resonance Imaging , Nephrectomy , Pyelonephritis, Xanthogranulomatous/surgery , Pyelonephritis, Xanthogranulomatous/pathologyABSTRACT
Xanthogranulomatous and emphysematous pyelonephritis are two rare variants of pyelonephritis. Their combined occurrence is a very rare condition, which has been documented in our case.
Subject(s)
Aged , Female , Humans , Pyelonephritis/complications , Pyelonephritis, Xanthogranulomatous/complicationsABSTRACT
A case of xanthogranulomatous pyelonephritis (Stage-I: Nephric) with ureteral involvement is described. The patient had undergone right nephrectomy with the working diagnosis of calculus pyonephrosis and non-functioning kidney. Histopathological examination of the nephrectomy specimen revealed xanthogranulomatous pyelonephritis confined to the kidney and non-contiguous involvement of ureter. Post-operative recovery was uneventful and there had been no evidence of disease recurrence till one year's follow-up.
Subject(s)
Humans , Male , Middle Aged , Pyelonephritis, Xanthogranulomatous/complications , Ureteral Diseases/etiologyABSTRACT
Descreve-se a associaçäo entre pielonefrite xantogranulomatosa, carcinoma de células transicionais da pélvis renal e pionefrose por cálculo coraliforme em uma paciente jovem do sexo feminino que, submetida a tratamento cirúrgico e quimioterápico, apresentou sobrevida de 21 meses. Embora a associaçäo entre carcinoma de células transicionais da via excretora e calculose urinária näo constitua raridade (9,25%), näo existem relatos na literatura sobre presença simultânea desta com pielonefrite xantogranulomatosa