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    Go to the top of the page   ID: 20051005175954 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Xanthogranulomatous Pyelonephritis
    M Zieger. Xanthogranulomatous Pyelonephritis. PedRad [serial online] vol 5, no. 10.
    URL: www.PedRad.info/?search=20051005175954


     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    M. Zieger (Radiologisches Institut Olgahospital Stuttgart Deutschland)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    3 Years  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Abdomen-Renals  

     
     Pediatric Radiology CasesMost likely etiology:

    inflammatory or infectious  

     
     Pediatric Radiology CasesHistory:

    3.5 year old boy, "never been sick until now".
    Feels fatigued for the last few weeks with leg and abdominal pain. Oral antibiotic therapy without success. Urine after urinary catheterization sterile.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    The etiology is uncler, but chronic obstructions with infections are commonly seen. Calcifications are seen in 80% of the patients. Xanthogranulomatous pyelonephritis is often associated with diabetes or immunocomprimised patients, maybe even fatty acid metabolic disorders.
    Pathology:
    Localized tissue destruction, circumducted infiltration is possible. The process holds yellowish tissiue with necroses and hemorrhages.
    Microscopically, there are spongy, fat-laden macrophages and chronic and acute inflammatory responses at the same time.  

     
     Pediatric Radiology CasesRadiological findings:


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Nephromegaly, Calcifications with acoustic shadowing, calyectasia, lymphnodes in the renal hilus. The renal configuration is normal, but there are abscess-like lesions (nephromegaly in papillary region, the renal cortex is maintained).



    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Renal hilus transversal:
    enlarged lymphnodes



    Ultrasound 3 <- view Ultrasound 3

    Ultrasound 3: Overview kidney:
    Nephromegaly, Calcifications with acoustic shadowing, calyectasia, lymph nodes in the renal hilus. The renal configuration is normal, but there are abscess-like lesions (in papillary region, the renal cortex is maintained).




    Ultrasound 4 <- view Ultrasound 4

    Ultrasound 4: Detailed image of the parenchymal structure





    OP-Situs 1 <- view OP-Situs 1

    OP-Situs 1: Renal situs opened longitudinal

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Tumor  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Surgery: Nephrectomy  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    1916 by Schlagenhaufer
    “Über eigentümliche Staphylmykosen der Nieren und des pararenalen Bindegewebes” 1916; 19: 139-48 Frankfurt Z Pathol  

     
     Pediatric Radiology CasesLiterature:

    N/A  

     
     Pediatric Radiology CasesKeywords:

    Kidney, Kidneys, Xanthogranuloma , Pyelonephritis, xanthogranulomatous Pyelonephritis, inflammation of the Kidney , child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    M Zieger. Xanthogranulomatous Pyelonephritis. PedRad [serial online] vol 5, no. 10.
    URL: www.PedRad.info/?search=20051005175954  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Abdomen-Renals
    or in the region: Abdomen
    or in the tissue/organ: Renals
    or with the etiology: inflammatory or infectious
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     
    Xanthogranulomatous Pyelonephritis
    M Zieger. Xanthogranulomatous Pyelonephritis. PedRad [serial online] vol 5, no. 10.
    URL: www.PedRad.info/?search=20051005175954


     

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    Xanthogranulomatous Pyelonephritis
    Other cases by these authors:

    Search M. Zieger in Medline M. Zieger (1)   

    Xanthogranulomatous Pyelonephritis  
     
    Xanthogranulomatous Pyelonephritis
    M Zieger. Xanthogranulomatous Pyelonephritis. PedRad [serial online] vol 5, no. 10.
    URL: www.PedRad.info/?search=20051005175954


     

    Which diagnosis have other collegues guessed?


    • Nephroblastoma
      Votes: 2 (11 %)


    • Xanthogranulomatous Pyelonephritis
      Votes: 14 (77 %)


    • Renal carcinoma
      Votes: 0 (0 %)


    • Refluxnephropathy
      Votes: 0 (0 %)


    • Glomerulonephritis
      Votes: 2 (11 %)



        Total answers: 18

     
    Xanthogranulomatous Pyelonephritis
    M Zieger. Xanthogranulomatous Pyelonephritis. PedRad [serial online] vol 5, no. 10.
    URL: www.PedRad.info/?search=20051005175954


     

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    Xanthogranulomatous Pyelonephritis
    M Zieger. Xanthogranulomatous Pyelonephritis. PedRad [serial online] vol 5, no. 10.
    URL: www.PedRad.info/?search=20051005175954


     




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