Xanthogranulomatous pyelonefritis

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Xanthogranulomatous pyelonefritis

  1. 1. XanthogranulomatousXanthogranulomatousPyelonephritisPyelonephritisRare severe chronic renal infectionRare severe chronic renal infectionObstructive infective uropathy secondary toObstructive infective uropathy secondary tocalculicalculiLipid-laden macrophages - xanthoma cellsLipid-laden macrophages - xanthoma cellsChronic clinical course of flank pain, feverChronic clinical course of flank pain, feverand bacteriuria with malaise.and bacteriuria with malaise.Retroperitoneal inflammatory reactionRetroperitoneal inflammatory reaction
  2. 2. Investigation;Investigation;KUB - calculiKUB - calculiCT Scan - renal mass with multiple smallCT Scan - renal mass with multiple smallabscessesabscessesManagement;Management;Nephrectomy ± colectomy / splenectomyNephrectomy ± colectomy / splenectomyCutaneous FistulaCutaneous Fistula

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