| Laparoscopic nephrectomy for xanthogranulomatous pyelonephritis in the absence of kidney stones or clinical urinary infection. | |
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MedLine Citation:
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PMID: 18097329 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Here, we present a patient who underwent transperitoneal laparoscopic nephrectomy for a nonfunctional kidney on the left side, and who was found to have xanthogranulomatous pyelonephritis (XGP) on the subsequent histopathology examination. XGP is a severe, chronic infection of the renal parenchyma. Nephrectomy is the treatment of choice. Preoperative diagnosis of XGP can be challenging because the clinical presentation may vary. Our patient's loss of kidney function was due to a simple cortical kidney cyst that compressed the urinary collecting system. He presented only with mild flank pain and a poorly functioning kidney, and therefore XGP was not suspected before surgery. Because of the renal and perirenal inflammatory changes that commonly accompany XGP, the laparoscopic approach is difficult and is therefore rarely used. However, laparoscopic nephrectomy for XGP offers an easier recovery for the patient and therefore deserves further consideration as a method of treatment. |
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Authors:
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Lutfi Tunc; Hasan Biri; Metin Onaran; Mustafa Krac; Süleyman Yesil; Ibrahim Bozkirli |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Surgical laparoscopy, endoscopy & percutaneous techniques Volume: 17 ISSN: 1530-4515 ISO Abbreviation: Surg Laparosc Endosc Percutan Tech Publication Date: 2007 Dec |
Date Detail:
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Created Date: 2007-12-21 Completed Date: 2008-03-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100888751 Medline TA: Surg Laparosc Endosc Percutan Tech Country: United States |
Other Details:
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Languages: eng Pagination: 570-2 Citation Subset: IM |
Affiliation:
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Urology Department, Gazi University School of Medicine, Ankara, Turkey. ltunc@gazi.edu.tr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Humans Kidney Diseases, Cystic / complications Laparoscopy* Male Nephrectomy / methods* Pyelonephritis, Xanthogranulomatous / etiology, surgery* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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