PMID- 9850839 OWN - NLM STAT- MEDLINE DCOM- 19990216 LR - 20161124 IS - 0018-1994 (Print) IS - 0018-1994 (Linking) VI - 44 IP - 10 DP - 1998 Oct TI - [A case of xanthogranulomatous pyelonephritis followed by computed tomographic scan]. PG - 729-32 AB - Since it is difficult to differentiate xanthoglanulomatous pyelonephritis (XGP) from renal cancer, most cases of XGP are diagnosed after nephrectomy. We report a rare case of XGP followed by abdominal computed tomographic (CT) scan. A 65-year-old woman was admitted with high fever. Drip infusion pyelography showed a right renal stone but did not visualize the right kidney. A swollen right kidney was revealed on abdominal CT scan. Diabetes mellitus was detected by blood examinations and XGP was suspected. Conservative therapy with antibiotics was performed, the symptoms disappeared within 2 weeks and the right atrophic kidney was revealed on abdominal CT scan 12 months after onset. Histopathological findings on a renal biopsy specimen obtained 1.5 months after treatment were compatible with XGP. The diagnosis of XGP will become easier by using a combined approach including radiographic findings, physical finding and other data. FAU - Aizawa, T AU - Aizawa T AD - Department of Urology, Kamata General Hospital. FAU - Kurata, M AU - Kurata M FAU - Ohkubo, Y AU - Ohkubo Y FAU - Ogawa, M AU - Ogawa M FAU - Hokoishi, H AU - Hokoishi H FAU - Tochimoto, M AU - Tochimoto M FAU - Miki, M AU - Miki M LA - jpn PT - Case Reports PT - Journal Article PL - Japan TA - Hinyokika Kiyo JT - Hinyokika kiyo. Acta urologica Japonica JID - 0421145 SB - IM MH - Aged MH - Female MH - Humans MH - Pyelonephritis, Xanthogranulomatous/*diagnostic imaging/pathology MH - Radiography, Abdominal MH - *Tomography, X-Ray Computed EDAT- 1998/12/16 00:00 MHDA- 1998/12/16 00:01 CRDT- 1998/12/16 00:00 PHST- 1998/12/16 00:00 [pubmed] PHST- 1998/12/16 00:01 [medline] PHST- 1998/12/16 00:00 [entrez] PST - ppublish SO - Hinyokika Kiyo. 1998 Oct;44(10):729-32.