Abstract:Pyelonephritis is defined as an inflammation of the kidney and renal pelvis. The diagnosis is usually clinical. Acute multifocal bacterial nephritis is a rare form of pyelonephritis that is more severe and sepsis is more common. We report a patient who presented with fever and right-sided abdominal pain associated with right flank tenderness, suggesting right acute pyelonephritis. Bilateral multifocal pyelonephritis was diagnosed on ultrasonography, radionuclide renal scintigraphy and computed tomography. Howe… Show more
“…Karthikeyan et al reported sporadic bilateral papillary RCC masquerading as bilateral multifocal pyelonephritis. 11 Also, Boukhannous et al reported a unilateral RCC masquerading as pyelonephritis. 3 Like Boukhannous et al, our patient had unilateral papillary RCC presenting with features of pyelonephritis.…”
Section: Discussionmentioning
confidence: 99%
“…Similar cases have been reported where unilateral or bilateral RCC has presented as pyelonephritis in elderly males. Karthikeyan et al reported sporadic bilateral papillary RCC masquerading as bilateral multifocal pyelonephritis 11 . Also, Boukhannous et al reported a unilateral RCC masquerading as pyelonephritis 3 .…”
Hidden renal cell carcinoma (RCC) is not evident during severe inflammation such as acute pyelonephritis. We presented a 62‐year‐old male presenting with features of obstructive pyelonephritis managed with simple nephrectomy. However, the histopathology findings suggested unilateral papillary RCC. Our case showed that RCC might present with features of obstructive pyelonephritis.
“…Karthikeyan et al reported sporadic bilateral papillary RCC masquerading as bilateral multifocal pyelonephritis. 11 Also, Boukhannous et al reported a unilateral RCC masquerading as pyelonephritis. 3 Like Boukhannous et al, our patient had unilateral papillary RCC presenting with features of pyelonephritis.…”
Section: Discussionmentioning
confidence: 99%
“…Similar cases have been reported where unilateral or bilateral RCC has presented as pyelonephritis in elderly males. Karthikeyan et al reported sporadic bilateral papillary RCC masquerading as bilateral multifocal pyelonephritis 11 . Also, Boukhannous et al reported a unilateral RCC masquerading as pyelonephritis 3 .…”
Hidden renal cell carcinoma (RCC) is not evident during severe inflammation such as acute pyelonephritis. We presented a 62‐year‐old male presenting with features of obstructive pyelonephritis managed with simple nephrectomy. However, the histopathology findings suggested unilateral papillary RCC. Our case showed that RCC might present with features of obstructive pyelonephritis.
“…It is feasible and safe in clinical application. Since BSSRCC is a rare disease [ 13 , 14 ], the longer follow- up period, more patient enrolment, and novel anatomic classification systems [ 15 ] are needed to further investigate the beneficial effects of different surgical approaches for the patients. Fig.…”
BackgroundThe objective of this study is to investigate the optimal therapeutic protocol for BSSRCC.MethodsA total of 32 BSSRCC patients, including 28 males and 4 females, were enrolled the study from January 2004 to May 2016. The diagnoses were defined by the measurements of CT, ultrasound, and MRI. Patients with hereditary syndrome were excluded. The management of surgical manner, operation staging, and sequence were scheduled in accordance with the tumor’s location and size (based on Zhongshan score, ZS score), as well as the performance status of the patients. Among them, 8 cases were conducted with bilateral surgical procedure simultaneously and 24 cases were implemented with staged operations. NSS on the one side with contralateral RN, and NSS on both sides were performed in 17 and 15 patients separately.ResultsThirty cases were conducted 56 operations in total. The average operation time was 260 ± 52 min in simultaneous operations and 162 ± 40 min in staged operations. The length of hospital stay in average was 11.5 ± 1.8 and 7.5 ± 1.4 days, respectively. Twenty-eight cases were followed up by 6–138 months. The level of creatinine was elevated in 5 cases without hemodialysis conducted.ConclusionsThe location and size of the carcinomas, and the performance status of patients should be considered in determination of an appropriate surgical approach. Both renal function preservation and tumor eradication were similarly critical, whereas the latter is of more importance. ZS score may be helpful in the dilemma. Longer follow-up period and more patient enrolment are required.
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