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KMID : 0882420060700000294
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Korean Journal of Medicine
2006 Volume.70 No. 0 p.294 ~ p.298
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A case of a spontaneous renal rupture of xanthogranulomatous pyelonephritis in a hemodialysis patient
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Kim Tae-Kyung
Chang Uk-Sun
Yoo Seung-Min
Lee Hyun-Hee
Chung Woo-Kyung
Lee Joon-Seung
Kim Na-Rae
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Abstract
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Xanthogranulomatous pyelonephritis is an atypical form of chronic bacterial pyelonephritis which results in the destruction of the renal parenchyma that is replaced by granulomatous tissue containing lipid-laden macrophages. We report a case of a spontaneous rupture of xanthogranulomatous pyelonephritis in a hemodialysis patient. A twenty five-year-old female suddenly presented with severe pain in the left abdomen in the absence of a prior history of trauma or infection. She
received hemodialysis for one year because of diabetic renal failure. Abdomen-pelvic CT revealed a cyst and mass with a perirenal hematoma in the left kidney. A left total nephrectomy was performed under the presumptive diagnosis of spontaneous kidney rupture. The pathological findings were compatible with xanthogranulomatous pyelonephritis including the formation of a ruptured abscess.(Korean J Med 70:S294-S298, 2006)
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KEYWORD
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Xanthogranulomatous pyelonephritis, Spontaneous rupture, Hemodialysis
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