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Xanthogranulomatous perinephritis: Unusual cause of renal vein and vena caval thrombosis

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Urologic radiology

Abstract

Xanthogranulomatous pyelonephritis is an uncommon form of chronic renal infection which can be confused clinically, radiographically, and pathologically with renal carcinoma. Occasionally, xanthogranulomatous changes are more prominent in perinephric tissue than in the renal parenchyma itself. We present a case of locally invasive xanthogranulomatous perinephritis associated with thrombosis of the renal vein and inferior vena cava. With this constellation of findings, infections as well as malignant etiologies should be considered in the differential diagnosis.

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Authors and Affiliations

  1. Department of Radiology, The George Washington University Medical Center, 901 23rd Street, N.W., 20037, Washington, D.C., USA

    Donald G. Mitchell, Arnold C. Friedman & Edward M. Druy

  2. Department of Internal Medicine, The George Washington University Medical Center, Washington, D.C., USA

    Louise E. Swanberg

  3. Department of Urology, The George Washington University Medical Center, Washington, D.C., USA

    Michael Phillips

Authors
  1. Donald G. Mitchell
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  2. Arnold C. Friedman
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  3. Edward M. Druy
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  4. Louise E. Swanberg
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  5. Michael Phillips
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Mitchell, D.G., Friedman, A.C., Druy, E.M. et al. Xanthogranulomatous perinephritis: Unusual cause of renal vein and vena caval thrombosis. Urol Radiol 7, 35–38 (1985). https://doi.org/10.1007/BF02926847

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  • DOI: https://doi.org/10.1007/BF02926847

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