Focal xanthogranulomatous pyelonephritis in a young child

An 18-month-old female child presented with fever and an abdominal mass, which, after ultrasonography, computed tomography, and magnetic resonance imaging was considered to be an atypical cystic renal neoplasm. Nephrectomy was performed. Histopathological examination demonstrated the mass to be foca...

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Bibliographic Details
Published in:Pediatric radiology 1994-06, Vol.24 (3), p.213-215
Main Authors: HUGOSSON, C, AHMED, S, SACKEY, K, AKHTAR, M
Format: Article
Language:English
Subjects:
Biological and medical sciences
Diagnosis, Differential
Female
Humans
Infant
Investigative techniques, diagnostic techniques (general aspects)
Magnetic Resonance Imaging
Medical sciences
Pyelonephritis, Xanthogranulomatous - diagnosis
Tomography, X-Ray Computed
Ultrasonic investigative techniques
Urinary system
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Summary:An 18-month-old female child presented with fever and an abdominal mass, which, after ultrasonography, computed tomography, and magnetic resonance imaging was considered to be an atypical cystic renal neoplasm. Nephrectomy was performed. Histopathological examination demonstrated the mass to be focal xanthogranulomatous pyelonephritis. This lesion should be considered in the differential diagnosis of renal neoplasms in childhood, particularly cystic Wilms' tumor or Wilms' tumor with significant intratumoral hemorrhage.
ISSN:0301-0449
1432-1998
DOI:10.1007/BF02012195