Ramteke Vishal V, Shrivastava Makardhwaj S, Agrawal Brijesh A, Raiyani Ankit D, Darole Pramod A, Padwal Namita J, Kamath Sandhya A
Department of Medicine, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India.
BMJ Case Rep. 2011 Feb 2;2011:bcr0920103356. doi: 10.1136/bcr.09.2010.3356.
Xanthogranulomatous pyelonephritis (XGP) is a rare chronic inflammatory disorder of the kidney characterised by an infectious phlegmon arising in the renal parenchyma. It is seen in patients who have urolithiasis, urinary tract infection and immunocompromised status. The clinical presentation is variable and renal neoplasm is considered as a differential due to its characteristic extrarenal visceral invasion. The treatment is almost universally extirpative and can pose a formidable challenge to the treating physician and surgeon. The authors report a rare case of XGP in a postpartal woman who presented with multiple visceral abscesses whose diagnosis was arrived on histopathological examination.
黄色肉芽肿性肾盂肾炎（XGP）是一种罕见的肾脏慢性炎症性疾病，其特征是肾实质出现感染性蜂窝织炎。见于患有尿路结石、尿路感染和免疫功能低下的患者。临床表现多样，由于其特征性的肾外脏器侵犯，肾肿瘤被视为鉴别诊断对象。治疗几乎普遍采用切除手术，这对治疗医生和外科医生来说可能是一项艰巨的挑战。作者报告了一例产后女性罕见的XGP病例，该患者出现多个内脏脓肿，经组织病理学检查确诊。
