$^{18}F$-FDG PET/CT Finding in a Case of Xanthogranulomatous Pyelonephritis

황색육아종성 신우신염 환자의 $^{18}F$-FDG PET/CT 소견 1예

  • Choi, Bong-Hoi (Department of Nuclear Medicine and Molecular Imaging, Ajou University School of Medicine) ;
  • Hong, Sun-Pyo (Department of Nuclear Medicine and Molecular Imaging, Ajou University School of Medicine) ;
  • Yoon, Joon-Kee (Department of Nuclear Medicine and Molecular Imaging, Ajou University School of Medicine) ;
  • Pai, Ki-Soo (Department of Pediatrics & Adolescent Medicine, Ajou University School of Medicine) ;
  • Hong, Jeong (Department of Surgery, Ajou University School of Medicine) ;
  • Yim, Hyun-Ee (Department of Pathology, Ajou University School of Medicine)
  • 최봉회 (아주대학교 의과대학 핵의학과학교실) ;
  • 홍선표 (아주대학교 의과대학 핵의학과학교실) ;
  • 윤준기 (아주대학교 의과대학 핵의학과학교실) ;
  • 배기수 (아주대학교 의과대학 소아과학교실) ;
  • 홍정 (아주대학교 의과대학 외과학교실) ;
  • 임현이 (아주대학교 의과대학 해부병리과학교실)
  • Published : 2009.04.30

Abstract

Xanthogranulomatous pyelonephritis is an uncommon chronic renal infection, which is usually found on middle-aged women and is rare in infant. Sometimes it forms focal mass like lesion of kidney with pathologically characteristic lipid-laden macrophage. A 1-month female infant was admitted for fever and moaning sound. On work-up of urinary tract infection, abdomen ultrasonography and computed tomography revealed a large mass on the upper portion of right kidney and PET/CT showed homogeneously increased $^{18}F$-FDG uptake. The radical nephrectomy of right kidney was performed and histology revealed a focal xanthogranulomatous pyelonephritis. To our knowledge, this is the first report presenting the finding of $^{18}F$-FDG PET/CT in the childhood xanthogranulomatous pyelonephritis.

Keywords

References

  1. Anhalt MA, Cawood CD, Scott R, Jr. Xanthogranulomatous pyelonephritis: a comprehensive review with report of 4 additional cases. J Urol 1971;105:10-7
  2. Schaeffer AT and Schaeffer EM. Infection of the Urinary Tract. In: Wein AJ, Kavoussi LR, et al., editors. Campbell-Walsh Urology. 9th ed. Philadelphia: W.B. Saunders; 2007: p. 280-3
  3. Hammadeh MY, Nicholls G, Calder CJ, Buick RG, Gornall P, Corkery JJ. Xanthogranulomatous pyelonephritis in childhood: pre-operative diagnosis is possible. Br J Urol 1994;73:83-6 https://doi.org/10.1111/j.1464-410X.1994.tb07461.x
  4. Swingle CA, Baumgarten DA, Schuster DM. Xanthogranulomatous pyelonephritis characterized on PET/CT. Clin Nucl Med 2005;30:728-9 https://doi.org/10.1097/01.rlu.0000182262.16796.b3
  5. Avnet NL, Roberts TW, Goldberg HR. Tumefactive xanthogranulomatous pyelonephritis. Am J Roentgenol Radium Ther Nucl Med 1963;90:89-96
  6. Jung GW, Jeong MK, Yoon JB. Xanthogranulomatous Pyelonephritis in Childhood: A Case Report. Korean J Urol 1986;27:911-4
  7. Kim SY, Lee BM, Kim SY, Jon HJ, Kim CY. A case of xanthogranulomatous pyelonephritis in child. Korean Pediatr Soc 1993;36:273-9
  8. Jeong KS, Kim DS, Cho JH. A Cases of Xanthogranulomatous Pyelonephritis in Children. Korean J Urol 1994;35:82-5
  9. Chung HS, Hwang JC, Suh HJ, Jung SY, Baek YK. Bilateral Xanthogranulomatous Pyelonephritis in a Child. Korean J Urol 1996;37:98-100
  10. Kim JC. Ultrasonographic Features of Focal Xanthogranulomatous Pyelonephritis. J Korean Soc Ultrasound Med 2003;22:125-32
  11. Choi SH, Lee JH, Cho SR Xanthogranulomatous Pyelonephritis in a Child. Korean J Urol 2005;46:1231-4
  12. Lee HN, Kim KH, Ryu IW, Han MC, Chung WS. Xanthogranulomatous Pyelonephritis in an infant. Korean J Urol 2006;47:1367-70 https://doi.org/10.4111/kju.2006.47.12.1367
  13. Samuel M, Duffy P, Capps S, Mouriquand P, Williams D, Ransley P. Xanthogranulomatous pyelonephritis in childhood. J Pediatr Surg 2001;36:598-601 https://doi.org/10.1053/jpsu.2001.22292
  14. Loffroy R, Guiu B, Varbedian O, Michel F, Sagot P, Cercueil JP, et al. Diffuse xanthogranulomatous pyelonephritis with psoas abscess in a pregnant woman. Can J Urol 2007;14:3507-9
  15. Braun G, Moussali L, Balanzar JL. Xanthogranulomatous pyelonephritis in children. J Urol 1985;133:236-9
  16. Zugor V, Schott GE, Labanaris AP. Xanthogranulomatous pyelonephritis in childhood: a critical analysis of 10 cases and of the literature. Urology 2007;70:157-60 https://doi.org/10.1016/j.urology.2007.02.068
  17. Rasoulpour M, Banco L, Mackay IM, Hight DW, Berman MM. Treatment of focal xanthogranulomatous pyelonephritis with antibiotics. J Pediatr 1984;105:423-5 https://doi.org/10.1016/S0022-3476(84)80018-9
  18. Vanderbrink BA, Ost MC, Rastinehad A, Anderson A, Badlani GH, Smith AD, et al. Laparoscopic versus open radical nephrectomy for xanthogranulomatous pyelonephritis: Contemporary outcomes analysis. J Endourol 2007;21:65-70 https://doi.org/10.1089/end.2006.0188