Mesude TOSUN, Demet DOĞAN, Özgür ÇAKIR, Nagihan İNAL, Hasan Tahsin SARISOY, Ali DEMİRCİ, Nuri GÖNÜLLÜ, Bahar MÜEZZİNOĞLU, Doğukan SÖKMEN

Adrenal kitleyi taklit eden fokal ksantogranülomatöz pyelonefrit: Olgu sunumu

Ksantogranülomatöz pyelonefrit (KGP) etiyolojisi tam olarak bilinmeyen ve nadir görülen kronik renal inflamasyondur. Tipik olarak taşa bağlı obstrüksiyon zemininde gelişir. Ultrasonografi (USG) bulgularının nonspesifik olması sebebiyle bilgisayarlı tomografi (BT) ve Manyetik Rezonans Görüntüleme (MRG) hastalığın tanısı ve preoperatif planlamada ekstrarenal uzanımının gösterilmesinde seçilebilecek diagnostik modalitelerdir. Ancak fokal tutulum gösteren KGP’i böbrek tümörlerinden ayırt etmek zor olabilir ve bazen tanı yalnızca nefrektomi sonrası konulabilir. Bu yazımızda adrenal kitleyi taklit eden ve histopatolojik olarak ksantogranulomatöz pyelonefrit tanısı alan olgu sunulmuştur.

Anahtar Kelimeler:

Fokal ksantogranülomatöz pyelonefrit, Manyetik Rezonans Görüntüleme, psödotümör

Focal xanthogranulomatous pyelonephritis mimicking adrenal mass: Case report

Xanthogranulomatous pyelonephritis is a rare form of chronic renal infection which is unknown etiology exactly. Xanthogranulomatous pyelonephritis is typically associated with an obstructing calculus. Because of the nonspecific findings of ultrasonography, computed tomography and magnetic resonance imaging can be selected diagnostic modalities to show the extrarenal extension of the disease. However, it may be difficult to distinguish focal involvement of xanthogranulomatous pyelonephritis from renal tumors and sometimes diagnosis can only be made after nephrectomy. In this article we present a case of xanthogranulomatous pyelonephritis mimicking adrenal mass and histopathologically diagnosed.

Keywords:

Focal xanthogranulomatous pyelonephritis, Magnetic Resonance Imaging, pseudotumor,

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