PMID- 12944195
OWN - NLM
STAT- MEDLINE
DCOM- 20040413
LR  - 20191210
IS  - 0036-5599 (Print)
IS  - 0036-5599 (Linking)
VI  - 37
IP  - 4
DP  - 2003
TI  - Analysis of 39 cases of xanthogranulomatous pyelonephritis with emphasis on CT 
      findings.
PG  - 342-7
AB  - OBJECTIVE: In this retrospective study a review of the clinical, laboratory and 
      radiologic features of 39 cases of xanthogranulomatous pyelonephritis (XGP) is 
      presented. CT characteristics of XGP are analyzed in detail and the relevant 
      literature is reviewed in order to determine the most typical among them. 
      MATERIAL AND METHODS: Pathologic material from 39 patients suffering from XGP was 
      reviewed in order to confirm the initial diagnosis. Data compiled from the 
      previous history of the patients, clinical, laboratory, urographic and CT 
      findings, preoperative diagnosis, operative findings and postoperative period 
      were analyzed. RESULTS: Diffuse and focal forms of XGP were recognized in 38 and 
      1 cases, respectively. Fever, pain in the flank or abdomen, chills and malaise 
      were the commonest symptoms. A non-functioning kidney and/or staghorn calculus 
      were the commonest urographic findings. When available (15 cases), CT revealed 
      multiple fluid-filled cavities in the affected kidney and demonstrated the 
      extension of the disease to the perinephric spaces in all cases. All patients had 
      undergone nephrectomies, which were characterized as difficult in 60% of cases, 
      whereas two patients developed postoperative complications requiring 
      re-exploration. CONCLUSIONS: Nephrectomy for XGP may be followed by severe 
      complications and appropriate patient preparation and operation planning is of 
      great importance. CT is considered the imaging technique of choice for diagnosing 
      the disease preoperatively and a plethora of CT characteristics have been 
      described to date. Low-density fluid-filled areas within the renal parenchyma and 
      findings indicating perinephric extension should be considered the most typical 
      CT features of XGP.
FAU - Zorzos, Ioannis
AU  - Zorzos I
AD  - Department of Urology, Evangelismos Hospital, Athens, Greece. bmoutz@yahoo.gr
FAU - Moutzouris, Vassilios
AU  - Moutzouris V
FAU - Korakianitis, Georgios
AU  - Korakianitis G
FAU - Katsou, Georgia
AU  - Katsou G
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PL  - England
TA  - Scand J Urol Nephrol
JT  - Scandinavian journal of urology and nephrology
JID - 0114501
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Diagnosis, Differential
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Nephrectomy
MH  - Pyelonephritis, Xanthogranulomatous/*complications/*diagnostic imaging/surgery
MH  - Reproducibility of Results
MH  - Retrospective Studies
MH  - *Tomography, X-Ray Computed
MH  - Treatment Outcome
EDAT- 2003/08/29 05:00
MHDA- 2004/04/14 05:00
CRDT- 2003/08/29 05:00
PHST- 2003/08/29 05:00 [pubmed]
PHST- 2004/04/14 05:00 [medline]
PHST- 2003/08/29 05:00 [entrez]
AID - XG9LQ9V6FE3TUY77 [pii]
AID - 10.1080/00365590310004752 [doi]
PST - ppublish
SO  - Scand J Urol Nephrol. 2003;37(4):342-7. doi: 10.1080/00365590310004752.