Abstract | BACKGROUND: AIM: The authors report on a focal pseudotumoral case and discuss therapeutic modalities. CASE: A 2-year-old boy was admitted for a 2-weeks history of fever and right flank pain. Physical examination revealed a right lumbar mass. White blood cell count was 12.800/mm3 and C reactive protein elevated (50 mg/l). The urine culture was negative. Ultrasonography and computerized tomography demonstrated a focal multilocular cystic mass of the lower polar of right kidney, measuring 80 millimeters, with peripheral enhancement and perirenal involvement. At surgical exploration, a huge abscess of the lower polar of the kidney with dense adhesions to adjacent structures were noted. Excision of the collection and local drainage were performed. Pathologic examination of biopsy specimen confirmed the diagnosis of xanthogranulomatous pyelonephritis. Intraoperative culture was positive for Escherichia coli. Successful treatment of the lesion was achieved with adjunctive antibiotic therapy. The postoperative course was uneventful over a follow-up period of 2 years. CONCLUSION:
|
Authors | Manef Gasmi, Radhia Jemai, Fatma Fitouri, Aicha Ben Slama, Sondes Sahli, Mourad Hamzaoui |
Journal | La Tunisie medicale
(Tunis Med)
Vol. 88
Issue 6
Pg. 427-9
(Jun 2010)
ISSN: 0041-4131 [Print] Tunisia |
PMID | 20517855
(Publication Type: Case Reports, Journal Article)
|
Topics |
- Child, Preschool
- Humans
- Male
- Pyelonephritis, Xanthogranulomatous
(diagnosis, therapy)
- Remission Induction
|