PMID- 8298903
OWN - NLM
STAT- MEDLINE
DCOM- 19940308
LR  - 20190719
IS  - 0007-1331 (Print)
IS  - 0007-1331 (Linking)
VI  - 73
IP  - 1
DP  - 1994 Jan
TI  - Xanthogranulomatous pyelonephritis in childhood: pre-operative diagnosis is 
      possible.
PG  - 83-6
AB  - OBJECTIVE: To diagnose xanthogranulomatous pyelonephritis (XGP) in childhood 
      pre-operatively. PATIENTS AND METHODS: Eleven cases of XGP presenting to 
      Birmingham Children's Hospital over a 10-year-period are reported. Nine (82%) 
      were diagnosed preoperatively on the clinical and radiological findings. RESULTS: 
      The characteristic clinical findings were urinary tract infection (9 cases), 
      palpable renal mass (8 cases) and anaemia (8 cases). The most common radiological 
      findings were enlarged kidney (9 cases), renal calculi (7 cases) and 
      non-functioning kidney (6 cases). Renal ultrasound typically demonstrated a 
      central echoic area (6 cases) and multiple hypoechoic areas in the parenchyma (7 
      cases). A computed tomography (CT) scan was performed in three cases. This showed 
      characteristic multiple, low attenuation, unenhanced areas within the parenchyma 
      with extension of the inflammatory process into peri-nephric fat (two cases). Ten 
      cases (91%) were of the diffuse type. There was extension into the peri-nephric 
      fat in eight cases (73%). Three cases (27%) were associated with congenital 
      urological abnormalities. Nephrectomy was performed in 10 cases and a partial 
      nephrectomy in one. CONCLUSION: XGP is uncommon in childhood but should always be 
      considered in the differential diagnosis of renal masses, especially in the 
      presence of anaemia. Nephrectomy usually results in a permanent cure.
FAU - Hammadeh, M Y
AU  - Hammadeh MY
AD  - Department of Paediatric Surgery, Children's Hospital, Birmingham, UK.
FAU - Nicholls, G
AU  - Nicholls G
FAU - Calder, C J
AU  - Calder CJ
FAU - Buick, R G
AU  - Buick RG
FAU - Gornall, P
AU  - Gornall P
FAU - Corkery, J J
AU  - Corkery JJ
LA  - eng
PT  - Journal Article
PL  - England
TA  - Br J Urol
JT  - British journal of urology
JID - 15740090R
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Kidney/abnormalities/pathology
MH  - Kidney Calculi/complications
MH  - Male
MH  - Nephrectomy
MH  - Pyelonephritis, Xanthogranulomatous/*diagnosis/diagnostic imaging/pathology
MH  - Radiography
MH  - Urinary Tract Infections/complications
EDAT- 1994/01/01 00:00
MHDA- 1994/01/01 00:01
CRDT- 1994/01/01 00:00
PHST- 1994/01/01 00:00 [pubmed]
PHST- 1994/01/01 00:01 [medline]
PHST- 1994/01/01 00:00 [entrez]
AID - 10.1111/j.1464-410x.1994.tb07461.x [doi]
PST - ppublish
SO  - Br J Urol. 1994 Jan;73(1):83-6. doi: 10.1111/j.1464-410x.1994.tb07461.x.