1,016 results match your criteria Xanthogranulomatous Pyelonephritis


Spontaneous nephrocutaneous fistula due to xanthogranulomatous pyelonephritis with secondary enterocutaneous fistula: a rare case report.

Am J Clin Exp Urol 2021 15;9(2):177-181. Epub 2021 Apr 15.

School of Medicine, Isfahan University of Medical Sciences Isfahan, Iran.

Chronic infection, especially in the setting of obstruction like calculous disease, may result in the fistula tract development of fistula tract from kidney to the other proximal organs. However, nephrocutaneous fistula is a rare complication, and the primary cause of its development is previous surgical intervention, trauma, or malignancy. Our case was a 26-year-old Afghan man with xanthogranulomatous pyelonephritis (XGP) resulted in spontaneous nephrocutaneous fistula. Read More

View Article and Full-Text PDF

Severe Urosepsis Secondary to Xanthogranulomatous Pyelonephritis: A Case Report.

Cureus 2021 May 23;13(5):e15190. Epub 2021 May 23.

Emergency Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, SAU.

Xanthogranulomatous pyelonephritis (XGP) is considered to be a rare variant of chronic pyelonephritis, which results in non-functioning kidneys in patients. The exact etiology of this disease is still unknown, and hence even its pathophysiology remains unclear. We present a case of a 27-year-old Saudi male patient who had been bed-bound with a known case of a congenital anomaly with severe kyphoscoliosis, bilateral lower limbs deformity with paraplegia, and a ventriculoperitoneal shunt since childhood. Read More

View Article and Full-Text PDF

Laparoscopic heminephrectomy in a horseshoe kidney affected by xanthogranulomatous pyelonephritis: A modified approach.

Urol Case Rep 2021 Sep 15;38:101717. Epub 2021 May 15.

Department of Medicine, College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine.

Horseshoe kidney (HSK) is a common congenital kidney anomaly that is encountered frequently by urologists. It is rare for HSK to be affected by xanthogranulomatous pyelonephritis (XGP), a potentially life-threatening condition. The standard of care for XGP is open nephrectomy, but recently a few case reports have been published showing the feasibility of minimally invasive surgery to deal with XGP. Read More

View Article and Full-Text PDF
September 2021

Factores de riesgo preoperatorios en pacientes con pielonefritis xantogranulomatosa sometidos a nefrectomía.

Cir Cir 2021 ;89(3):411-415

Departamento de Urología, Unidad Médica de Alta Especialidad, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.

Objetivo: Identificar factores de riesgo asociados a complicaciones mayores en pacientes con pielonefritis xantogranulomatosa sometidos a nefrectomía.

MÉtodo: Análisis retrospectivo de expedientes clínicos de pacientes con pielonefritis xantogranulomatosa sometidos a nefrectomía. Se analizaron el sexo, el índice de masa corporal, el índice de comorbilidad de Charlson, la clasificación del estado físico de la American Society of Anesthesiologists, la etapa de Malek, el conteo leucocitario y los valores de creatinina. Read More

View Article and Full-Text PDF
January 2021

Xanthogranulomatous pyelonephritis.

Rev Clin Esp (Barc) 2021 Apr 6;221(4):245-246. Epub 2019 Dec 6.

Departamento de Urología, Hospital Universitario Ramón y Cajal, Madrid, Spain.

View Article and Full-Text PDF

Xanthogranulomatous pyelonephritis in an eight year old male child: A case report and review of the literature.

Int J Surg Case Rep 2021 May 30;82:105943. Epub 2021 Apr 30.

Faculty of Medicine, Kilimanjaro Christian Medical University College, Box 2240, Moshi, Tanzania; Department of Urology, Kilimanjaro Christian Medical Centre, Box 3010, Moshi, Tanzania.

Introduction And Importance: Xanthogranulomatous pyelonephritis is an extremely rare but known form of chronic pyelonephritis resulting from prolonged suppuration of the kidney. Pre-operatively, it may mimic renal tuberculosis or neoplastic lesions including renal cell carcinoma due to its vague clinical presentation, equivocal laboratory and radiological investigations. Due to its rarity and academic interest, herein we report such a rare case we recently encountered in our clinical practice. Read More

View Article and Full-Text PDF

Iatrogenic Inferior Vena Cava Resection Requiring Reconstruction.

Vasc Endovascular Surg 2021 Apr 28:15385744211012904. Epub 2021 Apr 28.

Division of Vascular and Endovascular Surgery, Department of Surgery, Medical College of Georgia at Augusta University, GA, USA.

This is a report of an iatrogenic inferior vena cava (IVC) segmental resection and reconstruction utilizing bovine pericardium. A 48-year-old female patient presented for a planned right nephrectomy by the urology service secondary to xanthogranulomatous pyelonephritis. This was complicated by inadvertent resection of an 8 cm segment of the infrarenal IVC. Read More

View Article and Full-Text PDF

Xanthogranulomatous pyelonephritis in a pediatric patient.

J Bras Nefrol 2021 Apr 19. Epub 2021 Apr 19.

Universidade Federal do Triângulo Mineiro, Hospital de Clínicas, Pediatria, Uberaba, MG, Brasil.

Introduction: Xanthogranulomatous pyelonephritis consists of a chronic infectious and inflammatory process of the renal parenchyma, a variant of chronic obstructive pyelonephritis. It is more prevalent in middle-aged adults, rare in pediatric patients, with less than 300 cases reported in children worldwide.

Report: Preschooler, aged 2 years and 11 months, male, with 2 months of abdominal distention, increased temperature and intense pallor, associated with microcytic anemia refractory to the use of ferrous sulfate. Read More

View Article and Full-Text PDF

Horseshoe Kidney Complicated by Xanthogranulomatous Pyelonephritis in a Young Girl: A Case Report and Review of the Literature.

Acta Medica (Hradec Kralove) 2021 ;64(1):60-63

Institut of Pathology, SRH Wald Klinikum, Gera, Germany.

The cases of horseshoe kidney presented by xanthogranulomatous pyelonephritis are very rare. In this study, the case of XGP developing in HSK in a young female patient was presented due to its rare incidence and the previously reported cases were reviewed, as well. The patient, who has end-stage renal disease and was under treatment, admitted to the clinic for preemptive kidney transplantation. Read More

View Article and Full-Text PDF
January 2021

Xanthogranulomatous pyelonephritis: a focus on microbiological and antibiotic resistance profiles.

BMC Urol 2021 Apr 7;21(1):56. Epub 2021 Apr 7.

Department of Urology, Hospital Universitario Ramón Y Cajal. Instituto Ramón Y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.

Background: Xanthogranulomatous pyelonephritis (XGP) is an inflammatory condition of the kidney and its treatment most often involves a combination of antibiotics and nephrectomy. This study aimed to define the clinical features and management of XGP, focusing on microbiological aspects and antibiotic therapy.

Methods: We performed a retrospective study of 27 cases of XGP diagnosed between January 2001 and January 2020 to analyse their clinical and management characteristics. Read More

View Article and Full-Text PDF

A case report of complete pathological remission after chemotherapy in a patient with primary renal squamous cell carcinoma.

Transl Androl Urol 2021 Feb;10(2):997-1005

Day Ward of Chemotherapy, Qingdao Central Hospital, Qingdao, China.

This is the first case report of the outcomes of systemic chemotherapy in a patient with locally advanced renal squamous cell carcinoma, a rare tumor, as well as the first next generation sequencing study of this rare tumor. The patient's main symptoms were fever and low back pain. Initial positron emission tomography and computed tomography (PET-CT) suggested a malignant renal tumor at onset, but biopsy confirmed renal squamous cell carcinoma. Read More

View Article and Full-Text PDF
February 2021

Xanthogranulomatous pyelonephritis: a rare presentation of disbelieved renal cell cancer recurrence after nephron-sparing surgery.

Ann R Coll Surg Engl 2021 Apr 8;103(4):e120-e123. Epub 2021 Mar 8.

PGIMER, Chandigarh, India.

Xanthogranulomatous pyelonephritis is a rare, painful inflammatory subtype of chronic renal infection, which can lead to severe parenchymal destruction. It imitates virtually every other renal inflammatory disease. We report a 51-year-old male presenting with left flank pain, on evaluation found to have a renal mass with a history of nephron-sparing surgery in the same kidney performed 6 months previously. Read More

View Article and Full-Text PDF

Xanthogranulomatous pyelonephritis: an overview and management guide for clinicians.

Br J Hosp Med (Lond) 2021 Feb 17;82(2):1-8. Epub 2021 Feb 17.

Department of Urology, University Hospital Southampton, Southampton, UK.

Xanthogranulomatous pyelonephritis is a rare and chronic form of pyelonephritis. Patients can present with an array of signs and symptoms including flank pain, fever and weight loss. The insidious nature of its clinical presentation means that it can mimic a neoplastic process. Read More

View Article and Full-Text PDF
February 2021

Comparison of laparoscopic and hand-assisted laparoscopic nephrectomy for inflammatory renal disease: which is the preferred approach?

Ther Adv Urol 2021 Jan-Dec;13:1756287220984046. Epub 2021 Jan 21.

Department of Urology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 9677, East Jingshi Road, Jinan, 250014, P.R. China.

Aims: Management of inflammatory renal disease (IRD) can still be technically challenging for laparoscopic procedures. The aim of the present study was to compare the safety and feasibility of laparoscopic and hand-assisted laparoscopic nephrectomy in patients with IRD.

Patients And Methods: We retrospectively analyzed the data of 107 patients who underwent laparoscopic nephrectomy (LN) and hand-assisted laparoscopic nephrectomy (HALN) for IRD from January 2008 to March 2020, including pyonephrosis, renal tuberculosis, hydronephrosis, and xanthogranulomatous pyelonephritis. Read More

View Article and Full-Text PDF
January 2021

Rare squamous cell carcinoma of the kidney with concurrent xanthogranulomatous pyelonephritis: A case report and review of the literature.

Open Med (Wars) 2021 12;16(1):128-133. Epub 2021 Jan 12.

Department of Urology, Mackay Memorial Hospital, Taipei, Taiwan.

Case Presentation: In the current study, we report a 69-year-old female patient who was initially diagnosed with xanthogranulomatous pyelonephritis (XGPN) with nephrolithiasis and a peri-renal abscess. She presented to our department with right flank pain. Physical examination revealed right costovertebral angle knocking pain and computed tomography revealed dilated calyces and one staghorn stone over right kidney, with multiple abscess accumulations over the right peri-renal region. Read More

View Article and Full-Text PDF
January 2021

Imaging Characterization of Renal Masses.

Medicina (Kaunas) 2021 Jan 8;57(1). Epub 2021 Jan 8.

Radiology Department, Hospital Clinic, University of Barcelona (UB), 08036 Barcelona, Spain.

The detection of a renal mass is a relatively frequent occurrence in the daily practice of any Radiology Department. The diagnostic approaches depend on whether the lesion is cystic or solid. Cystic lesions can be managed using the Bosniak classification, while management of solid lesions depends on whether the lesion is well-defined or infiltrative. Read More

View Article and Full-Text PDF
January 2021

CT and MRI in Urinary Tract Infections: A Spectrum of Different Imaging Findings.

Medicina (Kaunas) 2021 Jan 1;57(1). Epub 2021 Jan 1.

Radiology department, Urology and Nephrology Center, Mansoura University, 35516 Mansoura, Egypt.

There are many acute and chronic infections affecting the urinary tract including bacterial, fungal and viral infections. Urinary tract infections (UTIs) can present in many different patterns with variable degrees of severity varying from asymptomatic and uncomplicated forms to life threatening complicated infections. Cross-sectional imaging techniques-including both computed tomography (CT) and magnetic resonance imaging (MRI)-have become very important tools not only for evaluation of UTIs, but also for detection of associated complications. Read More

View Article and Full-Text PDF
January 2021

Avoidance of Nephrectomy and Percutaneous Extraction of Retroperitoneal Calculi Secondary to Xanthogranulomatous Pyelonephritis.

J Vasc Interv Radiol 2021 02 9;32(2):324-327. Epub 2020 Dec 9.

Division of Interventional Radiology, Department of Radiology, University Hospital Waterford, Dunmore Road, Waterford City, X91 ER8E, Ireland.

View Article and Full-Text PDF
February 2021

Challenges and management of laparoscopic treatment of pyonephrosis caused by calculi.

BMC Surg 2020 Dec 10;20(1):327. Epub 2020 Dec 10.

Urology and Lithotripsy Center, Peking University People's Hospital, 133 Fuchengmen inner Street, Beijing, 100034, People's Republic of China.

Background: Calculous pyonephrosis is a disease characterized by infectious hydronephrosis associated with pyogenic destruction of the renal parenchyma, with complete or almost complete loss of renal function.

Methods: The clinical data of laparoscopic nephrolithotomy performed at Peking University People's Hospital from May 2017 to June 2020 were analyzed retrospectively. Eight patients (2 men; 6 women) aged 27 to 65 years (average age, 45. Read More

View Article and Full-Text PDF
December 2020

A Very Rare Case of Primary Renal Squamous Cell Carcinoma Presenting With Xanthogranulomatous Pyelonephritis on Radiological Imaging.

Cureus 2020 Dec 3;12(12):e11871. Epub 2020 Dec 3.

Internal Medicine, Prathima Institute of Medical Sciences, Karimnagar, IND.

Xanthogranulomatous pyelonephritis (XGP) and primary renal squamous cell carcinoma (SCC) are both rare conditions that can present very similarly in a patient with renal staghorn calculi. We report a case of a 54-year-old male who presented with fatigue, vomiting and significant acute weight loss. The patient was initially believed to have XGP, but was ultimately diagnosed with both XGP and primary renal SCC. Read More

View Article and Full-Text PDF
December 2020

[Renal granulomatous nephritis: Histopathological point of view].

Ann Pathol 2021 Apr 1;41(2):166-175. Epub 2020 Dec 1.

UMR9020 - UMR-S 1277, Inserm, CNRS, nephrology department, cancer heterogeneity, plasticity and resistance to therapies, Canther, CHU de Lille, université Lille, 59000 Lille, France.

Granulomatous interstitial nephritis (NIG) is a rare form of interstitial nephritis that can be related to acute or chronic clinical presentation. NIG is characterized by granulomas located to the renal interstitium and composed of either epithelioid histiocytes with giant cells and/or of foreign body reaction. The symptoms are unspecific and associate varying degrees of renal failure with abnormal urinanalysis. Read More

View Article and Full-Text PDF

Complicated pyelonephritis associated with chronic renal stone disease.

Radiol Med 2021 Apr 27;126(4):505-516. Epub 2020 Nov 27.

Department of Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Albertoni 15, Bologna, Italy.

Purpose: This article reviews imaging manifestations of complicated pyelonephritis associated with chronic renal stones disease, in particular xanthogranulomatous pyelonephritis (XGP) and emphysematous pyelonephritis (EPN), as potential mimics of other renal diseases and malignances and provides helpful tips and differentiating features that may alert the radiologist to suspect a diagnosis of infection.

Materials And Methods: A retrospective review of the records from 6 adult patients (5 females and 1 male, mean age 72,3 years) with diagnosis of XGP associated with chronic nephrolithiasis and 7 adult patients (6 females and 1 male, mean age 59,3 years) with diagnosis of EPN associated with chronic nephrolithiasis from January 2010 to January 2020 was carried out. Computed tomography urography (CTU) with at least an unenhanced scan, and the parenchymal and excretory phases after contrast medium administration performed at our Teaching Hospital were included. Read More

View Article and Full-Text PDF

Angiomyolipoma of the kidney: from simple hamartoma to complex tumour.

Pathology 2021 Jan 31;53(1):129-140. Epub 2020 Oct 31.

Department of Diagnostic and Public Health, Section of Pathology, University of Verona, Verona, Italy; Department of Pathology, Pederzoli Hospital, Peschiera, Italy. Electronic address:

Angiomyolipoma is the most common mesenchymal tumour of the kidney, even if for a long time it has been viewed as a hamartoma rather than a neoplasm. It belongs to a family of neoplasms, named PEComa, characterised by the constant presence of perivascular epithelioid cells that co-express smooth muscle and melanogenesis markers. Angiomyolipoma can occur in patients with tuberous sclerosis, a hereditary syndrome due to the alteration of TSC1 or TSC2 genes, or sporadically. Read More

View Article and Full-Text PDF
January 2021

Pleural empyema secondary to xanthogranulomatous pyelonephritis.

Thorax 2020 Oct 28. Epub 2020 Oct 28.

Radiology Department, Great Western Hospitals NHS Foundation Trust, Swindon, UK.

View Article and Full-Text PDF
October 2020

Xanthogranulomatous pyelonephritis diagnosed in an austere environment.

Urol Case Rep 2020 Nov 31;33:101371. Epub 2020 Jul 31.

Medical Corps, United States Navy, USNS Comfort T-AH 20, United States.

Xanthogranulomatous pyelonephritis (XPN) is an unusual complication of chronic pyelonephritis typically associated with a large burden of infected and retained kidney stones, a true urologic medical emergency. It is known to occur in middle-aged women experiencing recurrent UTIs. We report upon a case of XPN diagnosed in a 38 year old female residing in an austere area in a South American country with limited access to medical care presenting to the medical unit "COMFORT", a humanitarian mission initiated by the United States Navy with a chief complaint of lower abdominal pain. Read More

View Article and Full-Text PDF
November 2020

A rare presentation of xanthogranulomatous pyelonephritis and emphysematous pyelonephritis complicated with necrotizing fasciitis of scrotum and perineum (fournier gangrene).

Urol Case Rep 2020 Nov 16;33:101299. Epub 2020 Jun 16.

Department of Surgery, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.

We report a case of cooccurrence of xanthogranulomatous and emphysematous pyelonephritis along with necrotizing fasciitis (NF) of scrotum and premium in a patient was nondiabetic and the history of kidney stones. This case a unique presentation of NF due to two pyelonephritis causing fournier gangrene. Surgical management and antibiotics provide an effective management of the disease. Read More

View Article and Full-Text PDF
November 2020

Xanthogranulomatous pyelonephritis caused by fusobacterium nucleatum. Case report and review of literature.

Urol Case Rep 2020 Nov 3;33:101293. Epub 2020 Jun 3.

Bristol Urological Institute, Southmead Hospital, Bristol, United Kingdom.

Xanthogranulomatous pyelonephritisis (XGP) is a rare and aggressive form of chronic urinary tract infection. The most common microorganism is Proteus but other microorganisms have been described in the literature. In this article, we describe a sixty-year-old male who presented with urosepsis and sever thrombocytopenia secondary to Fusobacterium nucleatum urinary tract infection which led to poorly functioning XGP. Read More

View Article and Full-Text PDF
November 2020

Xanthogranulomatous pyelonephritis presenting as giant gluteal abscess.

Authors:
Zablon Bett

Radiol Case Rep 2020 Dec 13;15(12):2594-2597. Epub 2020 Oct 13.

Department of Radiology and Imaging, Maseno University School of Medicine, Kericho 1777 Kenya.

Xanthogranulomatous pyelonephritis (XGP) is a rare chronic suppurative granulomatous infection of the kidney associated with renal obstruction and progressive renal parenchymal destruction. We present an unusual clinically occult case of extensive right XGP which presented clinically with discharging right gluteal sinus and swollen right posterolateral chest and abdominal walls extending caudally to right gluteus. Contrast enhanced computed tomography of the abdomen and pelvis revealed obstructing right renal calculi, severe hydronephrosis, renal destruction and large (20. Read More

View Article and Full-Text PDF
December 2020

Long-Term Antibiotic Treatment Prior to Laparoscopic Nephrectomy for Xanthogranulomatous Pyelonephritis Improves Postoperative Outcomes: Results from a Multicenter Study.

J Urol 2021 Mar 20;205(3):820-825. Epub 2020 Oct 20.

Department of Urology, University of California, Irvine, California.

Purpose: Xanthogranulomatous pyelonephritis is a destructive bacterial infection typically necessitating nephrectomy. We hypothesized that long-term preoperative antibiotics would facilitate laparoscopic nephrectomy by reducing the renal inflammation.

Materials And Methods: We reviewed the records of all patients with histologically confirmed xanthogranulomatous pyelonephritis at 3 University of California institutions between 2005 and 2018. Read More

View Article and Full-Text PDF