KINDERRADIOLOGIE ONLINE - view radiology images and radiology cases
Lesen Sie diese Seite auf Deutsch   Read this page in English
The Peer Reviewed Pediatric Radiology Platform on the Web
ISSN: 1942-955X :: Publisher: EduRad ::Editor-In-Chief: Roland Talanow, MD, PhD  
Browse Browse || Search Search || Online Book Systematically Online Book Systematically || Discussion Forum Discussion Forum || News News || Submit a Case Submit a Case || Rules Rules |
Most Interesting Cases Most Interesting Cases || "Most Diligent" Authors "Most Diligent" Authors || Case of the Day Case of the Day || Teaching files Teaching files || Links Links |
Newsletter Newsletter || Start Start || Survey Survey || Your Opinion Your Opinion || My Profile My Profile || CME-Credits CME-Credits |
    Pediatric Radiology News / Ads / Jobs Get the Pediatric Radiology News as RSS feed !
    Send us your news or ads for free
  • Measurement of Femoral Version by MRI is as Reliable and Reproducible as CT in Children and Adolesce... (J Pediatr Orthop)
  • Contrast-enhanced pulmonary MRA for the primary diagnosis of pulmonary embolism: Current state of th... (Br J Radiol)
  • Performance of chest ultrasound in pediatric pneumonia.... (Eur J Radiol)
  • CME Kurs: Paediatric Body MRI

  • CME course: Paediatric Body MRI

  • Universitätsklinikum Jena sucht eine Ärztin/einen Arzt in Weiterbildung in Vollzeit

  • Kinderspital Zürich sucht Oberärztin / Oberarzt (100 %)

  • Kinderradiologische Oberärztin / Oberarzt gesucht

  • 2 Stellen in der Kinderradiologie - 1 Assistenzärztin/Assistenzarzt und 1 Oberärztin/Oberarzt in Voll- oder Teilzeit

  • Senior Paediatric Radiologist in Pediatric Radiology section needed

  • Facharzt als Oberärztin / Oberarzt in Sektion Kinderradiologie gesucht

  • Stellenangebot für Assistenzarzt (m/w) zur Facharztausbildung für RADIOLOGIE und/oder KINDERRADIOLOGIE

  • „Fellow“-Stelle zur Weiterbildung in Pädiatrischer Radiologie am Kinderspital Zürich

  • Fellow-Stelle Pädiatrische Neuroradiologie

  • FFF Kinderradiologie - Muskuloskelettale Radiologie im Kindesalter (Fit für den Facharzt)

  • Assistenzarzt für Kinderradiologe gesucht an Universitätsklinikum Schleswig-Holstein, Campus Kiel

  • Turnusarzt (m/w) in Ausbildung zum Facharzt (m/w) für Radiologie

  • Assistenzarzt (m/w) zur Weiterbildung im Schwerpunkt Kinderradiologie

  • Send us your news or ads for free

    Get the Pediatric Radiology News as RSS feed !


    Radiolopolis

    The dynamic Radiology community for education, research and practice


     

    Case of the Day
    Xanthogranulomatous Pyelonephritis

    Modality: Ultrasound Modality: Ultrasound Modality: Ultrasound Modality: Ultrasound Modality: OP-Situs

    View here all images of this case in different sizes !



    Go to the top of the page ID: 20051005175954
    | The authors | Discussion | Write comments about this Case |
    | Recommend this Case to a Colleague |
     Xanthogranulomatous Pyelonephritis   
     Available images: There are Ultrasound images available for this case. [ Ultrasound ] There are Ultrasound images available for this case. [ OP-Situs ]   
     Author/s:

    M. Zieger (Radiologisches Institut Olgahospital Stuttgart Deutschland)  

     
     Email Address:

    Viewable for logged on visitors (Log on)  

     
     Age:

    3 Years  

     
     Gender:

    Male  

     
     History:

    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.  

     
     Pathomorphology 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.  

     
     Radiological 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

     

     
     Diagnosis confirmation:

    Surgery / Histo  

     
     Which DD would be also possible with the radiological findings:

    Tumor  

     
     Course / Prognosis / Frequency / Other :

    Surgery: Nephrectomy  

     
     Comments of the author about the case:

    N/A  

     
     First description / History:

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

     
     Literature:

    N/A  

     
     Region-Organ:

    Abdomen-Renals  

     
     Most likely etiology:

    inflammatory or infectious  

     
     Available images: There are Ultrasound images available for this case. [ Ultrasound ] There are Ultrasound images available for this case. [ OP-Situs ]   
    More cases from these authors: Search M. Zieger in Medline M. Zieger (1)     




    Discussion >> Write Comment <<



      There are no comments available regarding this case.





     Write a comment to this case (With * marked fields have to be filled)

    Type in this number: 1196

    Name: *

    E-Mail:

    Website:

    Subject: *

    Text: *




     
      Pediatric Radiology Discussion Get the Pediatric Radiology Discussion as RSS feed !
      To the discussion forum
      To the discussion forum

      Get the Pediatric Radiology Discussion as RSS feed !

      © 2001-2017   www.kinderradiologie-online.de
      In cooperation with © Radiolopolis - Radiology Search - Radiology Teacher - PubMed Reader - Annotate - Radiology Lectures & Tutorials - Radiology Boards Preparation - Pediatric Radiology Links - Pediatric Radiology Information - Emergency Radiology - Lung Cancers - USMLE Forums - Cancer Staging Information - Chest Radiology - Radiology Case Report Journal
      For suggestions and questions: information@kinderradiologie-online.de
      Add this site to your favorites (CTRL+D)