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- W2911806013 abstract "A 52 year-old man was brought to our emergency department because of fever with chills and right abdominal pain for 1 week. He had a history of type 2 diabetes mellitus, right renal stones with recurrent pyelonephritis, and end-stage renal disease on regular hemodialysis. The initial vital signs showed body temperature 38.5°C, pulse 102 beats per minute, respiratory rate 24 breaths per minute, and blood pressure 150/88 mm Hg. Physical examination showed tenderness over right upper quadrant of the abdomen. In addition, right costophrenic angle knocking pain was detected. Hemogram showed leukocytosis (white blood cell: 14,400/μL, 90% neutrophils). X-ray of the kidneys, ureters, and bladder showed several radiolucent spots at the right upper abdomen. Abdominal computed tomography (CT) showed a well-encapsulated huge hypodense multicystic lesion with calcifications involving the psoas muscle (Figure 1). Coronary view of abdominal CT showed destruction of the right renal parenchyma replaced by multiple fluid-filled cavities extended into the liver, with postcontrast rim enhancement and thickening of Gerota’s fascia (Figure 2). The attenuation values in these masses varied from −5 to 23 Hounsfield Units (HU) because of its lipid content. Right nephrectomy confirmed the diagnosis of xanthogranulomatous pyelonephritis. Figure 2 View Large Image Figure Viewer" @default.
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- W2911806013 date "2010-06-01" @default.
- W2911806013 modified "2023-10-18" @default.
- W2911806013 title "Xanthogranulomatous Pyelonephritis" @default.
- W2911806013 cites W1997691742 @default.
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- W2911806013 doi "https://doi.org/10.1097/maj.0b013e3181bb8585" @default.
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