[Abdominal wall skin nodules revealing xanthogranulomatous pylonephritis].
Des nodules cutanés de la paroi abdominale révélant une pyelonéphrite xanthogranulomateuse.
Fistule néphrocutanée
Muscle psoas
Nephrocutaneous fistulae
Psoas muscle
Pyélonéphrite xanthogranulomateuse
Xanthogranulomatous pyelonephritis
Journal
La Revue de medecine interne
ISSN: 1768-3122
Titre abrégé: Rev Med Interne
Pays: France
ID NLM: 8101383
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
received:
04
02
2023
revised:
20
05
2023
accepted:
19
06
2023
medline:
2
10
2023
pubmed:
2
7
2023
entrez:
1
7
2023
Statut:
ppublish
Résumé
Xanthogranulomatous pyelonephritis is a chronic pyelonephritis characterized by an inflammatory granulomatous reaction that destroys the renal parenchyma. It is an uncommon entity. Diffuse inflammation has the potential to spread to nearby organs, especially the skin. A 73-year-old patient presented with a three-year history of painful and fistulized nodules on the abdominal wall. The results of abdominal computed tomography and magnetic resonance imaging revealed xanthogranulomatous pyelonephritis with extension to the skin, colon, and psoas muscle. The skin lesions were improved by a double antibiotic therapy. The patient was advised to have a radical left nephrectomy, but he refused surgery and was then lost to follow-up. We report an uncommon case of xanthogranulomatous pyelonephritis revealed by cutaneous nodules of the abdominal wall, with an extension toward the skin, the colon and the psoas muscle.
Identifiants
pubmed: 37393119
pii: S0248-8663(23)00671-9
doi: 10.1016/j.revmed.2023.06.008
pii:
doi:
Types de publication
Case Reports
English Abstract
Journal Article
Langues
fre
Sous-ensembles de citation
IM
Pagination
521-524Informations de copyright
Copyright © 2023 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.