Article Text

Download PDFPDF
Reminder of important clinical lesson
Chronic flank pain, fever and an unusual diagnosis
  1. Ranjit Chaudhary,
  2. Kulwant Singh,
  3. Nidhi Jain,
  4. Rakesh Biswas
  1. People’s College of Medical Sciences, Bhopal, India
  1. Correspondence to Professor Rakesh Biswas, rakesh7biswas{at}gmail.com

Summary

Xanthogranulomatous pyelonephritis (XGP) is a rare, serious, debilitating illness characterised by an infectious renal phlegmon. Most cases of XGP are unilateral and are often associated with urinary tract obstruction, infection, nephrolithiasis, diabetes, and/or immune compromise. This disease process ultimately results in focal or diffuse renal destruction and is characterised pathologically by lipid-laden foamy macrophages. XGP occurs in approximately 1% of all renal infections. The kidney is usually non-functional. XGP displays neoplasm like properties capable of local tissue invasion and destruction and has been referred to as a pseudotumour. Adjacent organs including the spleen, pancreas or duodenum may be involved. The gross appearance of XGP is a mass of yellow tissue with regional necrosis and haemorrhage, superficially resembling renal cell carcinoma. Renal cell carcinoma may be indistinguishable from XGP radiographically and clinically. The treatment of XGP is almost universally extirpative and can pose a formidable challenge to the surgeon.

Statistics from Altmetric.com

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.