Xanthogranulomatous Pyelonephritis- A Diagnostic Dilemma
Correspondence Address :
Dr. Dilip Kumar Pal,
IPGMER and SSKM Hospital, Kolkata-700072, West Bengal, India.
E-mail: urologyipgmer@gmail.com
Xanthogranulomatous Pyelonephritis (XGPN) is a chronic inflammatory disease usually associated with renal stones, mimicking several malignant and benign pathology causing diagnostic dilemma. A rare case of XGPN of renal pelvis has been presented here. A 34-year-old female presented with left renal colicky pain, with gross haematuria without any palpable renal lump. Computed Tomography (CT) scan showed a 4.5×4.3×4.0 cm sized heterogeneous solid cystic non enhancing Space Occupying Lesion (SOL) in left renal pelvis. It was provisionally diagnosed as transitional cell carcinoma of left renal pelvis and patient underwent laparoscopic nephroureterectomy. Histopathology revealed it as XGPN. This highlights the fact that there are several overlaps of clinical and radiological findings of these entities making its diagnosis a challenging task.
Inflammatory diseases, Malignancy mimickers, Renal lesions
10.7860/JCDR/2021/50550.15594
Date of Submission: May 27, 2021
Date of Peer Review: Jul 20, 2021
Date of Acceptance: Oct 06, 2021
Date of Publishing: Nov 01, 2021
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Jun 03, 2021
• Manual Googling: Oct 03, 2021
• iThenticate Software: Oct 23, 2021 (20%)
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