Chronic pyelonephritis presenting as a renal sinus tumor with retroperitoneal extension: a case report

<p>Abstract</p> <p>Introduction</p> <p>Chronic pyelonephritis is associated with progressive renal scarring and occurs, most of the time, in patients with major anatomical anomalies, including urinary tract obstruction, calculi, renal dysplasia or vesicoureteric reflux....

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Main Authors: Papadopoulos Georgios I, Mountanos Ioannis G, Manolakakis Stylianos I, Chrysanthakopoulos Georgios, Papaliodi Eugenia, Farmakis Antonios D
Format: Article
Language:English
Published: BMC 2009-09-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/3/1/9054
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author Papadopoulos Georgios I
Mountanos Ioannis G
Manolakakis Stylianos I
Chrysanthakopoulos Georgios
Papaliodi Eugenia
Farmakis Antonios D
author_facet Papadopoulos Georgios I
Mountanos Ioannis G
Manolakakis Stylianos I
Chrysanthakopoulos Georgios
Papaliodi Eugenia
Farmakis Antonios D
author_sort Papadopoulos Georgios I
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>Chronic pyelonephritis is associated with progressive renal scarring and occurs, most of the time, in patients with major anatomical anomalies, including urinary tract obstruction, calculi, renal dysplasia or vesicoureteric reflux. We report the computed tomography imaging findings of a patient with chronic pyelonephritis appearing as a renal sinus mass. To our knowledge, it is the first time that such a case has been published in the literature.</p> <p>Case presentation</p> <p>We present a case of a 68-year-old woman who underwent a computed tomography scan of the abdomen in the work-up for recently diagnosed hypertension. A non-enhancing left renal sinus mass was detected extending to the para-aortic space. The initial diagnosis was that of a tumor of the collecting system. Nephro-ureterectomy was performed and the pathology results revealed changes of chronic pyelonephritis.</p> <p>Conclusion</p> <p>Chronic pyelonephritis presenting as a renal sinus mass is reported for the first time in the literature. This may lead to the conclusion that diagnostic ureteropyeloscopy and biopsy should be performed prior to radical surgery for possible upper tract urothelial tumors.</p>
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spelling doaj.art-9c0273c1dfbf489ba14c68866961d2de2022-12-22T03:08:14ZengBMCJournal of Medical Case Reports1752-19472009-09-0131905410.4076/1752-1947-3-9054Chronic pyelonephritis presenting as a renal sinus tumor with retroperitoneal extension: a case reportPapadopoulos Georgios IMountanos Ioannis GManolakakis Stylianos IChrysanthakopoulos GeorgiosPapaliodi EugeniaFarmakis Antonios D<p>Abstract</p> <p>Introduction</p> <p>Chronic pyelonephritis is associated with progressive renal scarring and occurs, most of the time, in patients with major anatomical anomalies, including urinary tract obstruction, calculi, renal dysplasia or vesicoureteric reflux. We report the computed tomography imaging findings of a patient with chronic pyelonephritis appearing as a renal sinus mass. To our knowledge, it is the first time that such a case has been published in the literature.</p> <p>Case presentation</p> <p>We present a case of a 68-year-old woman who underwent a computed tomography scan of the abdomen in the work-up for recently diagnosed hypertension. A non-enhancing left renal sinus mass was detected extending to the para-aortic space. The initial diagnosis was that of a tumor of the collecting system. Nephro-ureterectomy was performed and the pathology results revealed changes of chronic pyelonephritis.</p> <p>Conclusion</p> <p>Chronic pyelonephritis presenting as a renal sinus mass is reported for the first time in the literature. This may lead to the conclusion that diagnostic ureteropyeloscopy and biopsy should be performed prior to radical surgery for possible upper tract urothelial tumors.</p>http://www.jmedicalcasereports.com/content/3/1/9054
spellingShingle Papadopoulos Georgios I
Mountanos Ioannis G
Manolakakis Stylianos I
Chrysanthakopoulos Georgios
Papaliodi Eugenia
Farmakis Antonios D
Chronic pyelonephritis presenting as a renal sinus tumor with retroperitoneal extension: a case report
Journal of Medical Case Reports
title Chronic pyelonephritis presenting as a renal sinus tumor with retroperitoneal extension: a case report
title_full Chronic pyelonephritis presenting as a renal sinus tumor with retroperitoneal extension: a case report
title_fullStr Chronic pyelonephritis presenting as a renal sinus tumor with retroperitoneal extension: a case report
title_full_unstemmed Chronic pyelonephritis presenting as a renal sinus tumor with retroperitoneal extension: a case report
title_short Chronic pyelonephritis presenting as a renal sinus tumor with retroperitoneal extension: a case report
title_sort chronic pyelonephritis presenting as a renal sinus tumor with retroperitoneal extension a case report
url http://www.jmedicalcasereports.com/content/3/1/9054
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