Department of Pathology, Azerbaijan Medical University, Baku, Azerbaijan.
Department of Kidney Diseases and Transplantology, Republican Treatment and Diagnostic Center, Baku, Azerbaijan.
Acta Medica (Hradec Kralove). 2021;64(1):60-63. doi: 10.14712/18059694.2021.11.
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. Bilateral open en bloc nephrectomy was performed before the kidney transplantation. The histopathological examination of the specimen was reported as XGP. Eight months later, living-donor organ transplantation was performed to the patient with the kidney obtained from her father. XGP can present as a complication of HSK. Moreover, HSK may rarely be manifested by end-stage renal disease in young patients. In such cases, who would undergo kidney transplantation, it is important to examine the HSK in detail and perform bilateral nephrectomy to prevent complications after transplantation.
黄肉芽肿性肾盂肾炎所致马蹄肾病例非常罕见。本研究报告了一例年轻女性患者的 XGP 合并 HSK，同时对既往报道的病例进行了回顾。该患者患有终末期肾病并接受治疗，因需要进行预防性肾移植而就诊。在肾移植前，对患者实施了双侧开放性整块肾切除术。标本的组织病理学检查报告为 XGP。8 个月后，为该患者进行了活体供者器官移植，供肾来自其父亲。XGP 可作为 HSK 的并发症出现。此外，HSK 在年轻患者中也可能罕见表现为终末期肾病。对于这些将要接受肾移植的患者，详细检查 HSK 并进行双侧肾切除术以预防移植后并发症非常重要。
