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Coexistence of renal replacement lipomatosis with xanthogranulomatous pyelonephritis
Author(s) -
SAKATA YUKO,
KINOSHITA NOBUTAKA,
KATO HIROMI,
YAMADA YASUSHI,
SUGIMURA YOSHIKI
Publication year - 2004
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2004.00728.x
Subject(s) - medicine , lipomatosis , xanthogranulomatous pyelonephritis , nephrectomy , kidney , radiology , computed tomography , urology , surgery
We report on a case of coexistence of replacement lipomatosis with xanthogranulomatous pyelonephritis (XGP) in the same kidney associated with staghorn calculi. A 63‐year‐old man was admitted to hospital complaining of a right abdominal mass. Computed tomography (CT) showed renal parenchymal atrophy with extremely increased perirenal fat. Right nephrectomy was performed. Postoperative diagnosis was renal replacement lipomatosis with XGP. Renal replacement lipomatosis and XGP have several similarities in terms of clinical background and CT findings. Sometimes it is difficult to differentiate them from malignant diseases. It is extremely rare that both conditions coexist in the same kidney. To our knowledge, only one such case has been reported.