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酷似复杂性肾囊肿的黄色肉芽肿性肾盂肾炎:1例罕见病例报告

Xanthogranulomatous Pyelonephritis Mimicking a Complex Renal Cyst: A Report of a Rare Case.

作者信息

Chandrashekhar Shantanu, Kumar Senthil, Jambunathan Saravanan, Sahu Anurag, Radhakrishnan Balaji

机构信息

Urology, Sri Ramaswamy Memorial (SRM) Medical College Hospital and Research Centre, Chennai, IND.

Pathology and Laboratory Medicine, Sri Ramaswamy Memorial (SRM) Medical College Hospital and Research Centre, Chennai, IND.

出版信息

Cureus. 2024 Sep 11;16(9):e69233. doi: 10.7759/cureus.69233. eCollection 2024 Sep.

DOI:10.7759/cureus.69233
PMID:39398846
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11470198/
Abstract

Xanthogranulomatous pyelonephritis (XGPN) is a chronic granulomatous inflammatory condition that affects the kidney and can often be hard to diagnose preoperatively due to its varying clinical presentations. We present here a rare case of a 36-year-old man with focal XGPN with preoperative CT imaging showing a large heterogenous lesion (computer tomography Hounsfield unit (CT HU) + 20) of size ~ 8.6 x 8.9 x 9.4 cm (anteroposterior (AP) x transverse (TR) x craniocaudal (CC)) arising from the inter pole region with few hyperdense solid components and septations suggestive of a complex renal cyst. The patient underwent open decortication and excision of the infected complex right renal cyst with right DJ stenting. He was treated with antibiotics and had an uneventful post-operative period.

摘要

黄色肉芽肿性肾盂肾炎(XGPN)是一种影响肾脏的慢性肉芽肿性炎症性疾病,由于其临床表现多样,术前往往难以诊断。我们在此报告一例罕见的36岁男性局灶性XGPN病例,术前CT成像显示一个大的异质性病变(计算机断层扫描亨氏单位(CT HU)+20),大小约为8.6×8.9×9.4厘米(前后径(AP)×横径(TR)×头尾径(CC)),起源于肾门间区域,有少量高密度实性成分和分隔,提示为复杂性肾囊肿。患者接受了开放性肾皮质剥脱术及感染性右肾复杂性囊肿切除术,并置入右DJ管。给予抗生素治疗,术后恢复顺利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e81/11470198/2ea22360f1df/cureus-0016-00000069233-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e81/11470198/024c03f66666/cureus-0016-00000069233-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e81/11470198/dc001f14bced/cureus-0016-00000069233-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e81/11470198/79211e20d0fe/cureus-0016-00000069233-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e81/11470198/b35222f03a44/cureus-0016-00000069233-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e81/11470198/dd8d72e9876e/cureus-0016-00000069233-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e81/11470198/b18f46575a42/cureus-0016-00000069233-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e81/11470198/2ea22360f1df/cureus-0016-00000069233-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e81/11470198/024c03f66666/cureus-0016-00000069233-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e81/11470198/dc001f14bced/cureus-0016-00000069233-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e81/11470198/79211e20d0fe/cureus-0016-00000069233-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e81/11470198/b35222f03a44/cureus-0016-00000069233-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e81/11470198/dd8d72e9876e/cureus-0016-00000069233-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e81/11470198/b18f46575a42/cureus-0016-00000069233-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e81/11470198/2ea22360f1df/cureus-0016-00000069233-i07.jpg

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Frozen Section Biopsy and Nephron-Sparing Surgery for a Multiloculated Cyst of the Kidney; Is this the Ideal Approach?肾脏多房性囊肿的冰冻切片活检与保留肾单位手术:这是理想的方法吗?
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Xanthogranulomatous pyelonephritis - A diagnostic and therapeutic dilemma.
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Am J Med Sci. 2023 Mar;365(3):294-301. doi: 10.1016/j.amjms.2022.11.004. Epub 2022 Dec 5.
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Xanthogranulomatous pyelonephritis: a systematic review of treatment and mortality in more than 1000 cases.黄色肉芽肿性肾盂肾炎:1000多例病例治疗及死亡率的系统评价
BJU Int. 2023 Apr;131(4):395-407. doi: 10.1111/bju.15878. Epub 2022 Sep 26.
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