Xanthogranulomatous pyelonephritis with calculus migration into the psoas abscess: an unusual complication
Autops. Case Rep
;
11: e2020200, 2021. graf
Artículo
en Inglés
| LILACS
| ID: biblio-1142404
ABSTRACT
Xanthogranulomatous pyelonephritis (XGP) is a rare variant of chronic pyelonephritis. It is characterized by progressive parenchymal destruction caused by chronic renal obstruction due to calculus, stricture, or rarely tumor, resulting in kidney function loss. Herein, we describe the case of a 36-year-old female who presented with left loin pain, left lower limb pain, and dysuria. On contrast-enhanced computed tomography (CECT), multiple abscesses and an obstructive staghorn calculus were depicted in the left kidney with the classical appearance of "Bear Paw Sign." An abscess with calculi was also present within the left psoas muscle. Though psoas muscle abscess in association with XGP was described, a ureteric fistula and calculi within the psoas muscle have not yet been reported in the literature. Left nephrostomy was performed, which came out to be positive for E. coli on culture. The patient underwent left nephrectomy, and the histopathological report of the surgical specimen confirmed XGP.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Infecciones Urinarias
/
Pielonefritis Xantogranulomatosa
/
Músculos Psoas
Límite:
Adulto
/
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Autops. Case Rep
Asunto de la revista:
Anatomia
/
Patologia Cl¡nica
/
Patologia Legal
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
India
Institución/País de afiliación:
Sree Balaji Medical College and Hospital/IN
Similares
MEDLINE
...
LILACS
LIS