A case of xanthogranulomatous pyelonephritis in child.
- Author:
Sa Young KIM
;
Byung Mun LEE
;
Soo Young KIM
;
Hee Joo JON
;
Chan Yung KIM
- Publication Type:Original Article
- Keywords:
Xanthogranulomatous pyelonephritis
- MeSH:
Anemia;
Angiography;
Calculi;
Child*;
Diagnosis;
Female;
Fever;
Flank Pain;
Follow-Up Studies;
Frozen Sections;
Humans;
Kidney;
Leukocytosis;
Male;
Nephrectomy;
Pyelonephritis, Xanthogranulomatous*;
Recurrence;
Tomography, X-Ray Computed;
Ultrasonography;
Urinary Tract Infections
- From:Journal of the Korean Pediatric Society
1993;36(2):273-279
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Xanthogranulomatous pyelonephritis, an uncommon chronic inflammatory renal disorder of middle-aged women, is rarely seen in childhood. A 10 year-old boy with focal type of this disease in upper and lower pole was experienced. Patient had a intermittent fever and right flank pain without palpable mass. The blood analysis only revealed ESR increase but no anemia, no leukocytosis. There was no history or signs of urinary tract infection or calculi. The urine analysis and culture showed nothing abnormal. An intravenous pyelogram, ultrasonogram, abdominal CT and selective renal arteriography only demonstrated a non functioning upper pole of right kidney. During operation, a gross finding and frozen section strongly showed xanthogranulomatous pyelonephritis and diagnosis was made on histological examination, After nephrectomy, there had been no evidence of disease recurrence during 2 years follow-up period.
