Renal Mass with Caval Thrombous as Atypical Presentation of Xantogranulomatous Pyelonephritis. a Case Report and Literature Review
- 23 April 2013
- journal article
- case report
- Published by SAGE Publications in Urologia Journal
- Vol. 80 (22_suppl), 44-47
- https://doi.org/10.5301/ru.2013.11050
Abstract
Introduction Xantogranulomatous pyelonephritis is a rare, severe, chronic renal infection typically resulting in diffuse renal destruction. Enlarged kidney is typical radiological finding. In this work we describe an extremely rare case in which a clinically classified cT3b Tumor (level II IVC thrombus) was detected; at specimen analysis to be xantogranulomatous pyelonephritis with IVC extension. Material And Method U.V., female, 86 years old, we diagnosed with right renal mass, with extension to IVC. By pathological analysis, it was found that renal mass and the thrombus was not due to RCC, but by xantogranulomatus pyelonephritis. Discussion xantogranulomatous pyelonephritis with IVC thrombus is exceptional and has been described in 4 cases. Such a diagnosis could have anesthesiologic importance, in particular related to antimicrobial treatment. Xantogranulomatous pyelonephritis has its own classification, based on extension and organ involvement, but this case fall out of current classification Conclusion This possibility could be suspected and updating of disease's classification could be suggested.Keywords
This publication has 17 references indexed in Scilit:
- Treatment of Locally Advanced Renal Cell CarcinomaEuropean Urology Supplements, 2012
- Prognostic factors of renal cell carcinoma with extension into inferior vena cavaInternational Journal of Urology, 2008
- Clinical outcome of surgical management for patients with renal cell carcinoma involving the inferior vena cavaInternational Journal of Urology, 2007
- Renal Cell Carcinoma With Tumor Thrombus Extension Into the Vena Cava: Prospective Long-Term FollowupJournal of Urology, 2007
- RENAL CELL CARCINOMA WITH RENAL VEIN AND INFERIOR VENA CAVAL INVOLVEMENT: CLINICOPATHOLOGICAL FEATURES, SURGICAL TECHNIQUES AND OUTCOMESJournal of Urology, 2005
- Xanthogranulomatous pyelonephritis, the gatekeeper's dilemma: A contemporary look at an old problemUrology, 1995
- Xanthogranulomatous pyelonephritis: Clinical findings and surgical considerationsUrology, 1994
- Case profile: Psoas abscess profileUrology, 1984
- Xanthogranulomatous Pyelonephritis: Segmental or Generalized Disease?Journal of Urology, 1980
- Xanthogranulomatous Pyelonephritis: A Critical Analysis of 26 Cases and of the LiteratureJournal of Urology, 1978