Xanthogranulomatous pyelonephritis in children: conservative management.
case_report · Level V
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Abstract
Three new cases of xanthogranulomatous pyelonephritis are described in children. Laboratory examinations including white and red blood cell counts, erythrocyte sedimentation rate, renal function, urinalysis and cystography were performed. All of the patients had a palpable abdominal mass. Urine culture was positive (Proteus mirabilis) in only 1 patient. Associated urological abnormalities were found in 2 cases. Urographically a functionless kidney was encountered in 2 children and a renal mass in the other. None could be diagnosed preoperatively. Although nephrectomy has been said to be the treatment of choice, conservative treatment can be successful as shown by 1 of our patients.
Medical subject headings
- Pyelonephritis, Xanthogranulomatous