Focal xanthogranulomatous pyelonephritis mimicking adrenal mass: Case report

Year 2018, Volume: 13 Issue: 1, 60 - 63, 01.02.2018

Mesude Tosun , Demet Doğan Özgür Çakır Nagihan İnal Hasan Tahsin Sarısoy Ali Demirci Nuri Gönüllü Bahar Müezzinoğlu Doğukan Sökmen

Abstract

Xanthogranulomatous pyelonephritis is a rare form of chronic renal infection which is unknown etiology exactly. Xanthogranulomatous pyelonephritis is typically associated with an obstructing calculus. Because of the nonspecific findings of ultrasonography, computed tomography and magnetic resonance imaging can be selected diagnostic modalities to show the extrarenal extension of the disease. However, it may be difficult to distinguish focal involvement of xanthogranulomatous pyelonephritis from renal tumors and sometimes diagnosis can only be made after nephrectomy. In this article we present a case of xanthogranulomatous pyelonephritis mimicking adrenal mass and histopathologically diagnosed. 

Keywords

Focal xanthogranulomatous pyelonephritis , Magnetic Resonance Imaging , pseudotumor

Adrenal kitleyi taklit eden fokal ksantogranülomatöz pyelonefrit: Olgu sunumu

Abstract

Ksantogranülomatöz
pyelonefrit (KGP) etiyolojisi tam olarak bilinmeyen ve nadir gö­rülen kronik
renal inflamasyondur. Tipik ola­rak taşa bağlı obstrüksiyon zemininde gelişir.
Ultrasonografi (USG) bulgularının nonspe­sifik olması sebebiyle bilgisayarlı
tomografi (BT) ve Manyetik Rezonans Görüntüleme (MRG) hastalığın tanısı ve
preoperatif plan­lamada ekstrarenal uzanımının gösterilme­sinde seçilebilecek
diagnostik modalitelerdir. Ancak fokal tutulum gösteren KGP’i böbrek tümörlerinden
ayırt etmek zor olabilir ve ba­zen tanı yalnızca nefrektomi sonrası konula­bilir.
Bu yazımızda adrenal kitleyi taklit eden ve histopatolojik olarak
ksantogranulomatöz pyelonefrit tanısı alan olgu sunulmuştur.

Keywords

Fokal ksantogranülomatöz pyelonefrit , Manyetik Rezonans Görüntüleme , psödotümör

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