Novosti
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Year 2021 Vol. 29 No 3
CASE REPORTS
A.N. NECHIPORENKO 1, N.A. NECHIPORENKO 1, D.M. VASILEVICH 2, V.A. BASINSKY 1, A.S NECHIPORENKO 2, N.L. GAVINA 2
XANTHOGRANULOMATOUS PYELONEPHRITIS – A RARE FORM OF CHRONIC CALCULOUS PYELONEPHRITIS
Grodno State Medical University 1,
Grodno University Hospital 2, Grodno,
The Republic of Belarus
The article represents the authors’ own observation of the patient with xanthogranulomatous pyelonephritis (XPN). Xanthogranulomatous pyelonephritis is a rare form of chronic bacterial calculous pyelonephritis. Factors predisposing to the development of xanthogranulomatous pyelonephritis include the following: the impairment of the urinary flow along the urinary tract, type II diabetes mellitus, and chronic inflammation of the kidney.
XPN is an uncommon cause of chronic pyelonephritis resulting in non-functioning kidneys and poses a preoperative diagnostic dilemma which may mimic other malignant diseases of a kidney (renal cell carcinoma, leiomyosarcoma) and acute pyelonephritis as a bacterial infection causing inflammation of the kidneys (a renal carbuncle). The patient was examined at the urology clinic of .Grodno State Medical University: general clinical blood and urine tests, ultrasound examination, X-ray computed tomography – native and with contrast enhancement, magnetic resonance imaging were performed. The patient underwent nephrectomy due to the impossibility of organ-preserving surgery – removal of a volumetric formation located at the hilum of the kidney and adjacent to the vessels. Histopathology of the specimen was concluded as xanthogranulomatous pyelonephritis. The patients underwent MR examinations, ultrasound examination and X-ray computed tomography with contrast enhancement, but a diagnosis of xanthogranulomatous pyelonephritis was not confirmed unequivocally. The final diagnosis is usually established only after histologic examination of biopsy specimens of removed kidney.
- Clapton WK, Boucaut HA, Dewan PA, Bourne AJ, Byard RW. Clinicopathological features of xanthogranulomatous pyelonephritis in infancy. Pathology. 1993 Apr;25(2):110-13. doi: 10.3109/00313029309084781
- Aljaev JuG, Grigorjan VA, Lokshin KL, Grigor’ev NA, Sultanova EA. Ostryj i ksantogranulematoznyj pielonefrit. Moscow, RF: GJeOTAR-Med; 2002. 24 p. (In Russ.)
- Alyaev Yu, Grigoryev N. Xanthogranulomatous pyelonephritis: the present view of the problem. Vrach. 2009;(4):8-12. https://elibrary.ru/item.asp?id=12415656 (In Russ.)
- Neimark AI, Pavlovskaya ZA., Yakovets YV, Kostyuk NA, Pavlovsky SV, Volkova GA, Bekuzarov SS, Kozhutyakin IG, Zahvaev AE. Our experience to diagnose and treatment of patients with xanthogranulomatous pyelonephritis. Kazan Med Zhurn. 2008;(4):472-75. https://cyberleninka.ru/article/n/nash-opyt-diagnostiki-i-lecheniya-bolnyh-ksantogranulematoznym-pielonefritom. (In Russ.)
- Onopko VR, Rojanskif RV. Deryaguitr RB, Krivtborskaycr EV, Mulin MYu, Otchirov GG. A case of diffuse xanthogranulomatous pyelonephritis. Sib Med Zhurn. 2014;(5): 117-19. https://cyberleninka.ru/article/n/klinicheskoe-nablyudenie-diffuznogo-ksantogranulyomatoznogo-pielonefrita/viewer (In Russ.)
- Abovich YuA, Afukova OA, Yudin AL. Coexistence xanthogranulomatous pyelonephritis with renal replacement lipomatosis. Computed tomography. Ñlinical case. Medical Visualization. 2018;(5):65-72. doi: 10.24835/1607-0763-2018-5-65-72 (In Russ.)
- Li L, Parwani AV. Xanthogranulomatous pyelonephritis. Arch Pathol Lab Med. 2011 May;135(5):671-74. doi: 10.1043/2009-0769-RSR.1
- Rajesh A, Jakanani G, Mayer N, Mulcahy K. Computed tomography findings in xanthogranulomatous pyelonephritis. J Clin Imaging Sci. 2011;1:45. doi: 10.4103/2156-7514.84323
230009, Republic of Belarus,
Grodno, Gor’kii Str., 80,
Grodno State Medical University,
the Department of Surgical Diseases No2,
tel. +375 29 651-35-69,
e-mail: nechiporenko_al@mail.ru
Nechiporenko Alexandr N.
Nechiporenko Alexandr N., MD, Professor of the Department of Surgical Diseases No2, Grodno State Medical University, Grodno, Republic of Belarus.
https://orcid.org/0000-0002-3304-6393
Nechiporenko Nikolay A., MD, Professor of the Department of Surgical Diseases No2, Grodno State Medical University, Grodno, Republic of Belarus.
https://orcid.org/0000-0002-1544-9287
Vasilevich Daniil M., Urologist of the Urological Department, Grodno University Hospital, Grodno, Republic of Belarus.
https://orcid.org/0000-0002-0052-5195
Basinsky Victor A., MD, Professor, Head of the Department, Grodno State Medical University, Grodno, Republic of Belarus.
https://orcid.org/0000-0001-9441-1342
Nechiporenko Anna S., Radiologist, CT Department, Grodno University Hospital, Grodno, Republic of Belarus.
https://orcid.org/0000-0002-4073-3132
Gavina Natalya L., Head of MRI Department, Grodno University Hospital, Grodno, Republic of Belarus.
https://orcid.org/0000-0003-3062-6592
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