Xanthogranulomatous Pyelonephritis, Perinephric Type. A Case Report.:A Case Report
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概要
- 論文の詳細を見る
A 46 year-old woman with a perinephric type of xanthogranulomatous pyelonephritis is described. She had a fever and pain with a palpable mass in her right flank. The blood analysis revealed anemia, leucocytosis, γ-globulinemia, but no hyperlipidemia. The urine analysis showed nothing abnormal, but enterobacter was present in the urine. An intravenous pyelogram demonstrated a right non-functioning kidney. The diagnosis of a perinephric abscess was made from the x-ray and ultrasonogram, and a right nephrectomy was performed. The resected kidney had a tumor-like lump covered with Gerota's fascia at the postern-lateral side of the kidney. The cut surface of the kidney revealed an area of hemorrhage, blood clotting, abscess and a brownish yellow area in the perinephric fat tissue. The calyx and pelvis were normal. Histologically, the brownish yellow area was a granuloma with foam cell infiltration. The foam cells contained lipids. The renal parenchyma showed a non-specific chronic pyelonephritis.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
著者
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Jimi Atsuo
Department Of Pathology Kurume University Medical Center
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Kojiro Masamichi
Department Of Gastroenterology And Hepatology Kinki University School Of Medicine
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Kosai Ken-ichiro
Department Of Cardiovascular Regeneration Science Gifu University School Of Medicine
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KOSAI KEN-ICHIRO
Department of Pathology, Kurume University School of Medicine
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AKAGI YASUHISA
Department of Pathology, Kurume University School of Medicine
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YOSHIZUMI OSAMU
Department of Urology, Kurume National Hospital
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JIMI ATSUO
Department of Pathology and Oncology, University of Occupational and Environmental Health, Japan, School of Medicine
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