Preoperative diagnosis of xanthogranulomatous pyelonephritis.
Preoperative diagnosis of xanthogranulomatous pyelonephritis may be correctly made in a significant proportion of affected patients thus preventing unnecessary radical surgery especially in the poor-risk patient. The diagnosis should be suggested in the patient with a history of chronic urinary tract infection and certain radiologic features. These include unilateral renal enlargement (either localized or diffuse), nonfunction on excretory urography, presence of renal and/or ureteral calculi, angiographic demonstration of avascular mass or masses with stretched, attenuated intrarenal vessels, prominent capsular and periureteric vessels, and an irregular impaired nephrogram with prominent avascular areas.
D000792:Angiography; D005260:Female; D006099:Granuloma / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D009392:Nephrectomy; D009393:Nephritis / Q000601:surgery; D011704:Pyelonephritis / Q000000981:diagnostic imaging*; D014567:Urography