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Published on: July 18, 2017
Xanthogranulomatous pyelonephritis in children: conservative management
J Rodó1, M E Martin, J Salarich
1Department of Pediatric Surgery, San Juan de Dios Hospital, Barcelona, Spain.
Objectives:
Three new cases of xanthogranulomatous pyelonephritis are described in children.
Methods:
Laboratory examinations including white and red blood cell counts, erythrocyte sedimentation rate, renal function, urinalysis and cystography were performed.
Results:
All of the patients had a palpable abdominal mass. Urine culture was positive (Proteus mirabilis) in only 1 patient. Associated urological abnormalities were found in 2 cases. Urographically a functionless kidney was encountered in 2 children and a renal mass in the other. None could be diagnosed preoperatively.
Conclusions:
Although nephrectomy has been said to be the treatment of choice, conservative treatment can be successful as shown by 1 of our patients.
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