[Xanthogranulomatous pyelonephritis in renal allograft. Report of a case and review of the literature].
Clinic report case of a kidney-transplanted female who, after one year of normal functioning, developed xantogranulomatous pyelonephritis in the renal allograft. Clinical presentation was mesorenal tumoration causing pyelocaliecstasis, which coincided with a progressive decline of renal function due to interstitial rejection. Diagnosis by eco-doppler imaging, CAT, arteriography, renogram and descending pyelography were non-specific in relation to the process benignant or malignant nature. Surgical examination with obtention of biopsy was not conclusive with regard to diagnosis and so, during a second surgery, transplanctectomy was chosen. The histological examination showed that the expansive process of the allograft corresponded to a case of xantogranulomatous pyelonephritis. After reviewing the existing literature, only 4 cases were found reporting this rare condition in a renal allograft.
Cozar
J M
JM
Servicio de Urología, Hospital Virgen de las Nieves, Granada.
Tallada
M
M
Espejo
E
E
Campos
M
M
Casares
A
A
Belilty
S
S
Urrutia
J
J
Vicente
J
J
D000328:Adult; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000000981:diagnostic imaging; D011183:Postoperative Complications / Q000175:diagnosis; D011705:Pyelonephritis, Xanthogranulomatous / Q000175:diagnosis; D011859:Radiography; D014463:Ultrasonography
Pielonefritis xantogranulomatosa en un aloinjerto renal. Presentación de un caso y revisión de la literatura.