[Xanthogranulomatous pyelonephritis in renal allograft. Report of a case and review of the literature].
[Xanthogranulomatous pyelonephritis in renal allograft. Report of a case and review of the literature].
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DOI：
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发表时间：
1996-07
影响因子：
1.1
通讯作者：
J. Cózar;M. Tallada;E. Espejo;M. Campos;A. Casares;S. Belilty;J. Urrutia;J. Vicente
中科院分区：
文献类型：
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作者：
J. Cózar;M. Tallada;E. Espejo;M. Campos;A. Casares;S. Belilty;J. Urrutia;J. Vicente
一位女性肾移植患者，在功能正常一年后，在移植肾中发生黄色肉芽肿性肾盂肾炎。临床表现为肾系膜肿瘤引起肾盂积水，同时伴有间质性排斥反应导致的肾功能进行性下降。超声多普勒、CAT、肾动脉造影、肾图及下行肾盂造影对病变的良恶性无特异性诊断。手术检查和活检不能明确诊断，因此，在第二次手术中，选择了移植切除术。组织学检查显示移植肾的扩张过程符合黄色肉芽肿性肾盂肾炎。在回顾现有文献后，仅发现4例报告这种罕见的肾移植病例。
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.