잠시만 기다려 주세요. 로딩중입니다.

Focal Xanthogranulomatous Pyelonephritis Associated with Xanthogranulomatous Cholecystitis: A Case Report

대한영상의학회지 2020년 81권 1호 p.190 ~ 196
조숭문 ( Cho Soong-Moon ) - Inje University Seoul Paik Hospital Department of Radiology

 ( Kim Ho-Kyun ) - Inje University Seoul Paik Hospital Department of Radiology
 ( Lee Hye-Kyung ) - Inje University Seoul Paik Hospital Department of Pathology
 ( Lee Byung-Mo ) - Inje University Seoul Paik Hospital Department of Surgery
 ( Kim Ki-Hwan ) - Inje University Seoul Paik Hospital Department of Radiology
이경은 ( Lee Kyoung-Eun ) - Inje University Seoul Paik Hospital Department of Radiology
심재찬 ( Shim Jae-Chan ) - Inje University Seoul Paik Hospital Department of Radiology
 ( Hwang Dae-Hyun ) - Inje University Seoul Paik Hospital Department of Radiology
 ( Lee Ghi-Jai ) - Inje University Seoul Paik Hospital Department of Radiology

Abstract


Xanthogranulomatous inflammation is a rare inflammatory reaction, characterized by lipid-laden macrophages, known as xanthomas, in histopathologic examination. Aggressive xanthogranulomatous inflammation often manifests as local infiltration but does not affect distant organs unless combined with rare systemic diseases. We report a case of focal xanthogranulomatous pyelonephritis (XGP) associated with severe xanthogranulomatous cholecystitis. Focal XGP was suspected in radiologic examination that showed a cystic lesion with an infiltrative margin, which were surgically resected and confirmed in pathologic examination. To our knowledge, this is the first report of focal xanthogranulomatous pyelonephritis associated with xanthogranulomatous cholecystitis. Moreover, we found peripheral hypointensity around the cystic lesion in the T2-weighted image, probably reflecting hemorrhage and fibrosis of the xanthogranulomatous inflammation.

키워드

Xanthogranulomatous Cholecystitis; Pyelonephritis, Xanthogranulomatous; Magnetic Resonance Imaging
원문 및 링크아웃 정보
 
등재저널 정보