Head and Neck Imaging

Imaging Diagnosis and Differentiation of Xanthogranulomatous Pyelonephritis(XGP)

Author:LI Xin-min, HAN Dan-dan, YAO Hong-xia

affiliation:Department of Radiology XuChang Center Hospital 461000

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Abstract

Objective To study the imaging diagnosis and differentiation of xanthogranulomatous pyelonephritis(XGP). Methods Imaging findings of 11 patients with histologically confirmed xanthogranulomatous pyelonephritis was retrospectively analyzed, all of patients was examed by x-xay, US and CT. Results x-ray: the enlargement of kindney shadow, distorsion of calyces and renal calculus wer observed. Sonography:space occupying lesion,renal calculus and and extensive infilitation were seen. CT features included :the disease appeared as focal or diffuse lesions, solid or lesions edge was reinforced after enhancement scanning, center was not reinforced, some was with calculi, lesions often extensively infilitrate to the perirenal or pararenal space. Conclutions CT has higher imaging value in diagnosis of XGP. diagnosis should combined with laboratory tests and clinical pathology.

【Keyword】Pyelonephritis; Xanthogranuloma; Diagnosis; Differentiation

【Chart number】R692.3

【Document Identification Number】A

【DOI】10.3969/j.issn.1672-5131.2015.06.017