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10.1186/s12894-018-0354-3

http://scihub22266oqcxt.onion/10.1186/s12894-018-0354-3
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C5987594!5987594 !29866085
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suck abstract from ncbi


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pmid29866085
      BMC+Urol 2018 ; 18 (1 ): 57
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  • Nephron-sparing management of Xanthogranulomatous pyelonephritis presenting as spontaneous renal hemorrhage: a case report and literature review #MMPMID29866085
  • Ballentine WK 3rd ; Vilson F ; Dyer RB ; Mirzazadeh M
  • BMC Urol 2018[Jun]; 18 (1 ): 57 PMID29866085 show ga
  • BACKGROUND: Xanthogranulomatous pyelonephritis (XGP) is an uncommon infectious disease of the kidney known to mimic other renal maladies. A rare presentation of this uncommon disease is spontaneous renal hemorrhage (SRH). CASE PRESENTATION: We report a case of XGP in a 58 year old woman who presented with abdominal pain, hematuria, and radiating left flank pain. CT scan was felt to be consistent with perirenal hemorrhage abutting a fat-containing renal mass. The patient was eventually taken to surgery for left partial nephrectomy. Pathology report returned as XGP, and the patient has no complications from this disease process at 8 month follow up. CONCLUSION: Our search of the literature shows XGP presenting as SRH to be a rare clinical entity. Furthermore, this is the first such case managed with a nephron-sparing approach. The "great imitator" XGP should be added to the differential for patients presenting with spontaneous renal hemorrhage.
  • |*Disease Management [MESH]
  • |Diagnosis, Differential [MESH]
  • |Female [MESH]
  • |Hemorrhage/*diagnostic imaging/surgery [MESH]
  • |Humans [MESH]
  • |Middle Aged [MESH]
  • |Nephrectomy/*methods [MESH]
  • |Nephrons/*diagnostic imaging/surgery [MESH]


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