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Original Article
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Korean J Med. 2006;70(2):294-298.
- 증례 : 혈액투석 환자에서 황색육아종성 신우신염에 의한 자발성 신파열 1예
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김태경
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- Case Reports : A case of a spontaneous renal rupture of xanthogranulomatous pyelonephritis in a hemodialysis patient
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Tae Kyung Kim
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한림의대 한강성심병원 내과
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- Abstract
- Xanthogranulomatous pyelonephritis is an atypical form of chronic bacterial pyelonephritis which results in the destruction of the renal parenchyma that is replaced by granulomatous tissue containing lipid-laden macrophages. We report a case of a spontaneous rupture of xanthogranulomatous pyelonephritis in a hemodialysis patient. A twenty five-year-old female suddenly presented with severe pain in the left abdomen in the absence of a prior history of trauma or infection. She received hemodialysis for one year because of diabetic renal failure. Abdomen-pelvic CT revealed a cyst and mass with a perirenal hematoma in the left kidney. A left total nephrectomy was performed under the presumptive diagnosis of spontaneous kidney rupture. The pathological findings were compatible with xanthogranulomatous pyelonephritis including the formation of a ruptured abscess.(Korean J Med 70:S294-S298, 2006)
Key Words : Xanthogranulomatous pyelonephritis, Spontaneous rupture, Hemodialysis
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