Well surgical outcome of malakoplakia and xanthogranulomatous pyelonephritis which presented in the same patient: A case report and literature review
We describe the case of a 82 year-old female with a diagnosis of XGP under ureteroscopy with biopsy, who underwent radical nephrectomy and final pathology report was malakoplakia. Both diseases may combine but it's rare. With this case we hope to bring further evidence to support that these two diseases are not mutually exclusive but they can present on the same patient.
In conclusion, renal actinomycosis can be challenging to diagnose, operate and eradicate. Perioperative considerations are presented for successful management.
Conclusion: Conservative management adopting appropriate algorithm reduces mortality and avoids unnecessary emergency nephrectomies. Thrombocytopenia, low BMI, presence of >2 comorbidities, high TLC, and hypoalbuminemia were significantly associated with mortality.
We report a 54-year-old man who presented with a 1-month history of an enlarged skin mass on the right flank. Diagnoses: The patient was subsequently diagnosed with metastatic SCC involving the patient's integumentary system near the flank region proximal to the right kidney following percutaneous nephrostomy. Interventions: The skin mass and the surrounding muscle tissue of the right flank were excised with a wide resection margin including radial nephrectomy. The soft tissue defect after resection was reconstructed using a unilateral gluteus maximus myocutaneous V-Y advancement flap. Outcomes: No recurrence of t...
ConclusionPatients in class I and II comprise the majority of EP patients, and respond well to medical treatment with excellent outcome. Insertion of PCN and DJ are not required routinely, but with urinary obstruction requiring drainage, and a few cases who required nephrectomy –all with class III. Our data show improvement in the overall survival in patients for EP.
A 38-year-old Caucasian male with a complex urologic history of renal transplantation and ileal conduit urinary diversion was admitted with acute renal failure and found to have an obstructing ileal conduit mass. The patient's history was notable for posterior urethral valves status post ablation as an infant, construction of a catheterizable channel at age 2, ileal conduit urinary diversion at age 4, left nephrectomy for recurrent pyelonephritis in a nonfunctioning kidney at age 7, and living-related kidney transplant for progressive chronic kidney disease at age 27.
ConclusionsIntra-operative superior mesenteric artery injury should be promptly identified and repaired to prevent gut ischemia and all its dire consequences. There are different repair options, and the technique should be chosen according to the degree of injury. The splenomesenteric bypass has numerous advantages.
ConclusionsAlthough rare, renal pelvis squamous cell carcinoma should be considered in the differential diagnosis of a renal mass in patients who have renal anomalies and chronic pyelonephritis.
R Kundu, A Baliyan, H Dhingra, V Bhalla, RS PuniaIndian Journal of Nephrology 2019 29(2):111-115 Xanthogranulomatous pyelonephritis (XGP) is an uncommon and distinct type of chronic infective pyelonephritis causing destruction of the kidney, severely affecting the renal function. The perinephric adipose tissue and peritoneum is not uncommonly involved. The study was undertaken to decipher the clinicopathologic spectrum of XGP. Forty cases of XGP were diagnosed on histopathology over a period of 13 years (2005–2017). Relevant clinical details and radiological findings were recorded from the case files. Out of a total...
CONCLUSION: NLR is a useful predictive marker in emphysematous pyelonephritis. Its predictive value increases when combined with presence or absence of ARF. In patients with high NLR and ARF, the threshold for considering nephrectomy should be low. PMID: 30624199 [PubMed - in process]
U Anandh, N Birajdar, R Kumar, S BabuIndian Journal of Nephrology 2018 28(6):468-471 A 32-year-old female presented to us with worsening cough and expectoration, low-grade fever, and malaise for 3 months. She gave a history of pregnancy loss secondary to urinary tract infection (UTI) a year back. At that time, she was told to have an obstructive right renal calculus. She also had a history of recurrent UTI in the past 1 year. She had no other comorbidities. Her clinical evaluation revealed an enlarged right kidney and reduced air entry in the right hemithorax. Radiological investigations revealed a large right kidney inva...