Xanthogranulomatous pyelonephritis treated by partial nephrectomy
- 7 August 2004
- journal article
- case report
- Published by Springer Science and Business Media LLC in Pediatric Nephrology
- Vol. 19 (10), 1164-1167
- https://doi.org/10.1007/s00467-004-1541-x
Abstract
Xanthogranulomatous pyelonephritis is an uncommon disease in children. We report of a 2-month-old girl with urinary tract infection and with a renal mass detected by ultrasound scan. The preoperative differential diagnoses were Wilms tumor, multicystic dysplastic kidney, renal abscess, and mesoplastic nephroma. The subsequent histopathological findings allowed the diagnosis of xanthogranulomatous pyelonephritis (XGP). Although XGP is rare at this age, it must be considered in the differential diagnosis of a child presenting with renal mass, either with or without associated urolithiasis, anemia, and elevated inflammatory markers. The long-standing mainstay of therapy for diffuse XGP has been nephrectomy. However, we report the successful preservation of renal mass with partial nephrectomy for diffuse XGP. The affected kidney grew normally and preserved residual function after the operation. Hence we strongly suggest parenchymal saving in pediatric cases of XGP to preserve renal function.Keywords
This publication has 13 references indexed in Scilit:
- Sonographic features of xanthogranulomatous pyelonephritisJournal of Clinical Ultrasound, 2001
- Xanthogranulomatous pyelonephritis in childhoodJournal of Pediatric Surgery, 2001
- Xanthogranulomatous Pyelonephritis: Report of Nonsurgical Management of a Case and Review of the LiteratureClinical Infectious Diseases, 1996
- Xanthogranulomatous pyelonephritis in childhood: Ultrasound and CT diagnosisPediatric Radiology, 1994
- Xanthogranulomatous pyelonephritis in an infantUrology, 1991
- From the Archives of the AFIP. Xanthogranulomatous pyelonephritis.RadioGraphics, 1991
- Xanthogranulomatous pyelonephritis in children: Analysis by diagnostic modalitiesUrologic Radiology, 1990
- Neonatal Xanthogranulomatous PyelonephritisBritish Journal of Urology, 1990
- Ultrasonography and needle aspiration in diagnosis of xanthogranulomatous pyelonephritisUrology, 1987
- Fistula and Sinus Formation in Xanthogranulomatous Pyelonephritis; A Clinicopathological Review and Report of Four CasesBritish Journal of Urology, 1986