弥漫性黄色肉芽肿性肾盂肾炎：计算机断层扫描和超声检查分析

Diffuse xanthogranulomatous pyelonephritis: analysis by computed tomography and sonography.

作者信息

Subramanyam B R, Megibow A J, Raghavendra B N, Bosniak M A

出版信息

Urol Radiol. 1982;4(1):5-9. doi: 10.1007/BF02924016.

Abstract

The sonographic and computed tomographic findings in 3 cases of diffuse xanthogranulomatous pyelonephritis are presented along with correlation with the pathological specimens. The combination of the findings in sonography and computed tomography in this condition enables one to make an accurate preoperative diagnosis. Calyces containing pus and/or xanthomatous tissue produced low-level echoes simulating preservation or thickening of the renal parenchyma on sonography. On CT the central low attenuation areas either gave negative values representing abundant xanthomatous tissue seen on gross pathology, or measured in the water density range representing a combination of pus and less abundant xanthomatous tissue.

摘要

本文报告了3例弥漫性黄色肉芽肿性肾盂肾炎的超声和计算机断层扫描结果，并与病理标本进行了对比。在这种情况下，超声和计算机断层扫描结果相结合能够在术前做出准确诊断。超声检查时，含有脓液和/或黄色瘤组织的肾盏产生低水平回声，类似肾实质保留或增厚。在CT上，中央低密度区要么呈负值，代表大体病理所见的大量黄色瘤组织，要么在水样密度范围内，代表脓液和少量黄色瘤组织的组合。