Smt. G. R. Doshi and Smt. K. M. Mehta Institute of Kidney Diseases and Research Centre, Department of Urology, Civil Hospital Campus, Asarwa, Ahmedabad, India.
Urology. 2012 Jun;79(6):1360-2. doi: 10.1016/j.urology.2011.11.044. Epub 2012 Feb 18.
Xanthogranulomatous pyelonephritis is a rare, chronic inflammatory lesion of the kidney associated with chronic infection and obstruction. It is uncommon in children and extremely rare in infants. Because of its rarity, the condition is often not considered in the differential diagnosis of a renal mass in children. We report a case of a 5-month-old boy presenting with fever and a left renal mass. The findings from radiologic investigations were suggestive of a renal mass and urine culture suggestive of urinary tract infection. Left radical nephrectomy was performed with difficulty because of the dense adhesions to the adjacent structures. Histopathologic examination confirmed the diagnosis of xanthogranulomatous pyelonephritis.
黄色肉芽肿性肾盂肾炎是一种罕见的慢性肾脏炎症性病变，与慢性感染和梗阻有关。它在儿童中不常见，在婴儿中极为罕见。由于其罕见性，在儿童肾肿块的鉴别诊断中往往不考虑这种疾病。我们报告了一例 5 个月大的男孩，表现为发热和左肾肿块。影像学检查结果提示肾肿块，尿液培养提示尿路感染。由于与邻近结构的紧密粘连，左肾根治性切除术进行得很困难。组织病理学检查证实了黄色肉芽肿性肾盂肾炎的诊断。
